Mica Skinner, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0915 Issued in SD

Practice address

400 Erin Cir
Hartford, SD 57033-2073

Phone

(605) 988-4528

Fax

(605) 528-3058

NPI assigned

Apr 4, 2016

Last updated

Apr 4, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297

  SD

  Medicare reassignment
• Foundations, LLC

  • Occupational Therapist
  • Hartford, SD
  • NPI 1164308672
  NPD (past)

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1447613666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 W GRINNELL CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571067657",
            "telephone_number": "605-999-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ERIN CIR",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "570332073",
            "telephone_number": "605-988-4528",
            "fax_number": "605-528-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "MICA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "0915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prairie Rehabilitation Services, Inc. (Hartford Therapy Services)
• Vincent Gerard Reilly, RPH
• Root and Bloom Mental Health PLLC
• Michael John Rowles, PT
• Sanford Clinic (Sanford Clinic Family Medicine Hartford)
• Lindsay Smith
• Jayson Dale Snyder, DC
• Soul Sign Co LLC
• Bradley Tyler
• Tammy Vande Kamp, CNP

• Occupational Therapist in Hartford, SD
• Providers in Hartford, SD by specialty
• Occupational Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.