Bryce Kuenzli, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

207 Main St
Lake Andes, SD 57356-2031

Phone

(605) 487-7755

NPI assigned

Oct 28, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1467052563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4753 PRICE POLAR RD",
            "city": "BRYANT",
            "state": "WI",
            "postal_code": "544189663",
            "telephone_number": "715-219-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MAIN ST",
            "city": "LAKE ANDES",
            "state": "SD",
            "postal_code": "573562031",
            "telephone_number": "605-487-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "NE",
            "postal_code": "687223067",
            "country_code": "US",
            "telephone_number": "402-775-2355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUENZLI",
        "first_name": "BRYCE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andes Central School District 11-1
• Charles Mix Electric Association Inc.
• Dakota Hearing Instrument Inc
• Lake Andes Health Care Center, Inc.
• Abbey Martin
• Rebecca Jo Moke, NP
• Beth A Schroeder, PA-C
• St Benedict Health Center

• All providers in Lake Andes, SD
• Occupational Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.