Active NPI
Stephanie Hayunga, OTR/L
- Occupational Therapist
- Watertown, SD
National Provider Identifier
1407279458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0889
- Practice address
- 8 5TH St SE
Watertown, SD 57201-3713 - Phone
- (605) 753-5400
- Fax
- (057) 536-2086
- NPI assigned
- Jan 28, 2014
- 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 | 0889 | SD | Primary |
Addresses
Primary practice location
8 5TH St SE
Watertown, SD 57201-3713
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200527003115 | SD | Practitioner - Occupational Therapist in Private Practice | 0143641241 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Big Stone Therapies Watertown LLC
Practice addresses (Care Compare)
8 5TH St SE
Watertown, SD 57201-3713
Phone (605) 753-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1407279458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CROSS ST",
"city": "BIG STONE CITY",
"state": "SD",
"postal_code": "572168237",
"telephone_number": "605-541-1140",
"fax_number": "605-541-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 5TH ST SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572013713",
"telephone_number": "605-753-5400",
"fax_number": "057-536-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYUNGA",
"first_name": "STEPHANIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.