Carissa Poncelet
Individual provider Active NPI Occupational Therapy Assistant · Dell Rapids, SD
NPI 1245501295 · NPPES record last updated Jan 23, 2012
Key facts
- NPI
- 1245501295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 000815 (IA)
- Practice address
- 706 Eagle Run
Dell Rapids, SD 57022-2142 - Phone
- (605) 428-5851
- NPI assigned
- Jan 23, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000815 | IA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 000815 | IA | Yes |
Addresses
Primary practice location
706 Eagle Run
Dell Rapids, SD 57022-2142
Mailing address
4300 E Walker Way
Sioux Falls, SD 57103-1148
Phone (605) 480-0641
Other providers in Dell Rapids, SD
- Jennifer M Millage
- Alex Nachreiner
- Danika Lee Nachreiner
- Beth Ann Nagel
- Peace and Purpose Counseling LLC
- Beth Prasek
- Joseph P. Prasek
- Sanford Health Network D/B/a/ Orchard Hills
- Sanford Medical Center
- Brittany Schaefer
All providers in Dell Rapids, SD · Occupational Therapy Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.