Nicole Fluth, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1114 Issued in SD

Practice address

5625 S Southeastern Ave
Sioux Falls, SD 57108-8600

Phone

(605) 359-3827

NPI assigned

Jul 25, 2018

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Kids, PLLC

  dba Functional Kids Pediatric Therapy

  • Occupational Therapist
  • Sioux Falls, SD
  • NPI 1881295590

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1225515927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 S SHAFER DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103914",
            "telephone_number": "605-359-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 S SOUTHEASTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088600",
            "telephone_number": "605-359-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUTH",
        "first_name": "NICOLE",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "1114",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SD",
            "license": "1114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SDBMOE STATE LICENSE",
            "identifier": "1114",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anah Rose Flor, PHARMD
• Kathryn I Florio, DO
• Flourish Wellness & Birth Co.
• Joshua Floyd, D.O.
• Danielle Flute, CNP
• Ann Marie Flynn-Crowe, MSW
• Kathryn Flynn, RBT
• Sarah A Flynn, M.D.
• Valerie Flynn
• Focus Optometry, P.C. (FOCUS Optometry)

• Occupational Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Occupational Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.