Individual provider Active NPI

Sierra Dawn Gunderson

  • Occupational Therapy Assistant
  • Chippewa Falls, WI
National Provider Identifier
1336860865
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
700227 Issued in WI
Practice address
1446 116TH St
Chippewa Falls, WI 54729-5569
Phone
(715) 239-2075
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 700227 WI Primary

Addresses

Primary practice location

1446 116TH St
Chippewa Falls, WI 54729-5569

Mailing address

W16092 County Rd S
Stanley, WI 54768-9302

Other identifiers 1

IdentifierTypeStateIssuer
1411048016MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sierra.kauffman@powerbackrehab.com

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

State licenses

LicenseStateTypeSpecialty
700227WIMDOccupational Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: sierra.kauffman@powerbackrehab.com

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1336860865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W16092 COUNTY RD S",
            "city": "STANLEY",
            "state": "WI",
            "postal_code": "547689302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 116TH ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295569",
            "telephone_number": "715-239-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "SIERRA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "700227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1411048016",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sierra.kauffman@powerbackrehab.com",
            "affiliation": "N",
            "address_1": "206 W Prospect St",
            "city": "Thorp",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547719303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.