NPIMap

Organization Active NPI

McCook Therapy

  • Rehabilitation Clinic/Center
  • Salem, SD
National Provider Identifier
1467759696
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
0119 Issued in SD
Legal business name
MCCOOK THERAPY
Practice address
511 S. Nebraska
Salem, SD 57058
Phone
(605) 421-1728
Fax
(605) 425-9463
NPI assigned
Feb 24, 2011
Last updated
Mar 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Amy Marie Heumiller, OT/LNPI 1265629471
Title
Occupational Therapist
Phone
(605) 421-1728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 0119 SD Primary

Addresses

Primary practice location

511 S. Nebraska
Salem, SD 57058

Mailing address

511 S. Nebraska
Salem, SD 57058
Phone (605) 421-1728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110309000994 SD Part B Supplier - Clinic/Group Practice 5991987125 Receives reassigned benefits from 6 practitioners
Practice locations: Canistota, SD; Salem, SD

National Provider Directory

National Provider Directory
Tax ID family
McCook Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1467759696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S. NEBRASKA",
            "city": "SALEM",
            "state": "SD",
            "postal_code": "57058",
            "telephone_number": "605-421-1728",
            "fax_number": "605-425-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S. NEBRASKA",
            "city": "SALEM",
            "state": "SD",
            "postal_code": "57058",
            "telephone_number": "605-421-1728",
            "fax_number": "605-425-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOOK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "HEUMILLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "605-421-1728",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "SD",
            "license": "0119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.