Active NPI
Madisyn Marie Pistorius, COTA
- Occupational Therapy Assistant
- Sisseton, SD
National Provider Identifier
1134940844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 300-398 Walnut St W
Sisseton, SD 57262 - Phone
- (605) 698-7613
- NPI assigned
- Oct 24, 2024
- Last updated
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | SD | Primary |
Addresses
Primary practice location
300-398 Walnut St W
Sisseton, SD 57262
Mailing address
46639 113TH St
Hart Township, SD 56219-4053
Phone (605) 419-1707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1134940844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46639 113TH ST",
"city": "HART TOWNSHIP",
"state": "SD",
"postal_code": "562194053",
"telephone_number": "605-419-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300-398 WALNUT ST W",
"city": "SISSETON",
"state": "SD",
"postal_code": "57262",
"telephone_number": "605-698-7613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISTORIUS",
"first_name": "MADISYN",
"middle_name": "MARIE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sisseton, SD
- Timothy Julian Pearson, PD
- Jim Lee Perez, CRNP
- Kayley Perkins, PHARMD
- Linda R Peterson, MD
- Faith Ann Phillips, DNP, RNP, FNP-BC
- Prairie Lakes Health Care System Inc (Prairie Lakes Kidney Dialysis Sisseton)
- Michael Price, N.P.
- Progressing Forward Medical & Mental Health Services
- Progressing Forward Medical and Mental Health Services LLC
- Kerri Beth Purkeypile, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.