Cheryl L. Pruett, (C)OTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

110A Issued in SD

Practice address

501 W Havens Ave
Suite 103
Mitchell, SD 57301-4334

Phone

(605) 995-6044

Fax

(605) 995-6044

NPI assigned

Sep 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cheryl L. Pruett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1376738849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1284",
            "address_2": "501 WEST HAVENS SUITE 103",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573017284",
            "telephone_number": "605-995-6044",
            "fax_number": "605-995-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W HAVENS AVE",
            "address_2": "SUITE 103",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014334",
            "telephone_number": "605-995-6044",
            "fax_number": "605-995-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "CHERYL",
        "middle_name": "L.",
        "credential": "(C)OTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SD",
            "license": "110A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "PRUETT",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaclyn Plamp, PHARMD
• Kari Pommer
• Prairie Family Healthcare, P.C.
• Jessica Lea Preheim, NP-C
• Roger Dean Prill Jr., D.C.
• John W Prunty, DC
• Quality Care Chiropractic LLC
• Paul Rasmussen, MD
• Jodi Reimnitz, PHARMD
• Linda J Renberg, CNP

• Occupational Therapy Assistant in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Occupational Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.