Active NPI
Jennifer L Lund, OT
- Occupational Therapist
- Sioux Falls, SD
National Provider Identifier
1467488080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0717
- Practice address
- 1204 N Six Mile Rd
Sioux Falls, SD 57110-7401 - Phone
- (605) 212-6790
- NPI assigned
- Jun 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01748 | IA | |
| Occupational Therapist | 225X00000X | 0717 | SD | Primary |
Addresses
Primary practice location
1204 N Six Mile Rd
Sioux Falls, SD 57110-7401
Mailing address
3410 Futures Dr
South Sioux City, NE 68776-3917
Phone (402) 412-4271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Sioux Falls, SD 57104
Phone (605) 231-2490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01748 | IA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Stone Therapy Inc. | Current | Accepting new patients | |
| Goodcare Athome Rehab, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770
1000 N West Ave
Ste 210
Sioux Falls, SD 57104
Phone (605) 403-0933
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
SD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1467488080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 FUTURES DR",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763917",
"telephone_number": "402-412-4271",
"fax_number": "402-412-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 N SIX MILE RD",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571107401",
"telephone_number": "605-212-6790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01748",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0717",
"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 Jan 2, 2018; 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.