Active NPI
Sandra K Oleson, OTR/L
- Occupational Therapist
- Mitchell, SD
National Provider Identifier
1306044433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00117
- Practice address
- 1213 Ridge Rd
Mitchell, SD 57301-2181 - Phone
- (605) 996-1325
- Fax
- (605) 996-1325
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 00117 | SD | Primary |
Addresses
Primary practice location
1213 Ridge Rd
Mitchell, SD 57301-2181
Mailing address
1213 Ridge Rd
Mitchell, SD 57301-2181
Phone (605) 996-1325
Other names 1
- Sandra K Sorensen
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00117 | SD | MD | Occupational Therapist |
Practice roles
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Mitchell, SD
- NPI 1073649901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1306044433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 RIDGE RD",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573012181",
"telephone_number": "605-996-1325",
"fax_number": "605-996-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 RIDGE RD",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573012181",
"telephone_number": "605-996-1325",
"fax_number": "605-996-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLESON",
"first_name": "SANDRA",
"middle_name": "K",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "00117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "SORENSEN",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mitchell, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.