Active NPI
Abbey Martin
- Occupational Therapy Assistant
- Lake Andes, SD
National Provider Identifier
1467911875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 282A
- Practice address
- 740 E Lake St
Lake Andes, SD 57356-2001 - Phone
- (605) 384-3661
- NPI assigned
- Mar 15, 2019
- Last updated
- Mar 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 282A | SD | Primary |
Addresses
Primary practice location
740 E Lake St
Lake Andes, SD 57356-2001
Mailing address
30373 398TH Ave
Wagner, SD 57380-7213
Phone (605) 491-3294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282A | SD | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1467911875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30373 398TH AVE",
"city": "WAGNER",
"state": "SD",
"postal_code": "573807213",
"telephone_number": "605-491-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 E LAKE ST",
"city": "LAKE ANDES",
"state": "SD",
"postal_code": "573562001",
"telephone_number": "605-384-3661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ABBEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SD",
"license": "282A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Andes, SD
- Andes Central School District 11-1
- Charles Mix Electric Association Inc.
- Dakota Hearing Instrument Inc
- Bryce Kuenzli, COTA
- Lake Andes Health Care Center, Inc.
- Rebecca Jo Moke, NP
- Beth A Schroeder, PA-C
- St Benedict Health Center (Avera St Benedict RHC Lake Andes)
- St. Benedict Health Center (Avera St. Benedict Certified Rural Health Clinic, Lake Andes)
- Monica Dawn Strait
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.