Active NPI
Sierra Dawn Gunderson
- Occupational Therapy Assistant
- Chippewa Falls, WI
National Provider Identifier
1336860865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 700227
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1411048016 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 700227 | WI | MD | Occupational Therapy Assistant |
Interoperability endpoints
- 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.