Creative Kids Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0750 Issued in SD

Legal business name

CREATIVE KIDS THERAPY

Practice address

24941 America Center Rd
Custer, SD 57730-8335

Phone

(701) 367-4736

NPI assigned

Feb 20, 2015

Organization subpart

No

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

Authorized official

Name

Susan Hans, OTR/LNPI 1619039369

Title

Owner/Occupational Therapist

Phone

(701) 367-4736

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Hans, OTRL

  • Pediatric Occupational Therapist
  • Custer, SD
  • NPI 1619039369

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1457743981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24941 AMERICA CENTER RD",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577308335",
            "telephone_number": "701-367-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24941 AMERICA CENTER RD",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577308335",
            "telephone_number": "701-367-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE KIDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "HANS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "701-367-4736",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SD",
            "license": "0750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura J. Burden, OTR/L & CMT
• Josephine A. Chase, MSW, LCSW-PIP
• Compassionate Care Hospice of the Hills, LLC
• Conard Chiroparctic, PC
• Sandra Lee Conard, D.C.
• Custer Ambulance Service Inc
• Custer Cares
• Custer Chiropractic, P.C.
• Custer Community Pharmacy LLC
• Custer School District

• Pediatric Occupational Therapist in Custer, SD
• Providers in Custer, SD by specialty
• Pediatric Occupational Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.