Active NPI
Tanya Rae Gross, OTR
- Occupational Therapist
- Rapid City, SD
National Provider Identifier
1295920080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0484
- Practice address
- 353 Fairmont Blvd
Rapid City, SD 57701 - Phone
- (605) 755-1000
- NPI assigned
- Sep 13, 2007
- 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 Therapist | 225X00000X | 0484 | SD | Primary |
Addresses
Primary practice location
353 Fairmont Blvd
Rapid City, SD 57701
Mailing address
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 755-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0484 | Other | SD | SD STATE LICENSURE |
Other names 1
- Miss Tanya Rae Schwartz
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind LLC | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Summerset, SD
- NPI 1134886914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1295920080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 FAIRMONT BLVD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-755-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 FAIRMONT BLVD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-755-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "TANYA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SD STATE LICENSURE",
"identifier": "0484",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "SCHWARTZ",
"middle_name": "RAE",
"prefix": "MISS",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.