Active NPI
Jennifer Danielle Laberge-Sorum, MS, OTR/L
- Specialist
- Sioux Falls, SD
National Provider Identifier
1447404306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0216
- Practice address
- 2115 S Pendar LN
Sioux Falls, SD 57105-3944 - Phone
- (605) 359-3842
- NPI assigned
- Nov 5, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0216 | SD | Primary |
Addresses
Primary practice location
2115 S Pendar LN
Sioux Falls, SD 57105-3944
Mailing address
616 W 20TH St
Sioux Falls, SD 57105-0609
Phone (605) 332-4401
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0216 | SD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theratime Inc | Past | Accepting new patients |
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.
-
- Pediatric Physical Therapist
- Sioux Falls, SD
- NPI 1508052739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1447404306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 W 20TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050609",
"telephone_number": "605-332-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 S PENDAR LN",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571053944",
"telephone_number": "605-359-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABERGE-SORUM",
"first_name": "JENNIFER",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-05",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SD",
"license": "0216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.