Individual provider Active NPI

Cassidy Erin Patterson, OTD

  • Occupational Therapist
  • Sioux Falls, SD
National Provider Identifier
1477107845
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1132 Issued in SD
Practice address
810 E 23Rd St FL 2
Sioux Falls, SD 57105-2135
Phone
(605) 322-5150
NPI assigned
Jul 24, 2019
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1132 SD Primary

Addresses

Primary practice location

810 E 23Rd St FL 2
Sioux Falls, SD 57105-2135

Mailing address

7900 E Arrowhead Pkwy Apt 106
Sioux Falls, SD 57110-7010
Phone (605) 695-4762

Other practice location 1

810 E 23rd St
Sioux Falls, SD 57105-2135
Phone (605) 331-5890

Other practice location 2

4700 W 69th St
Sioux Falls, SD 57108-8757
Phone (605) 305-5600

Other names 1

  • Cassidy Erin Gebhart Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203002649 SD Practitioner - Occupational Therapist in Private Practice 7315370400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1132SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Oct 7, 2019 Accepting new patients
Avera McKennan CurrentSince Oct 7, 2019 Accepting new patients
Avera McKennan Current Accepting new patients
Orthopedic Institute PC PastSince Nov 8, 2020 Accepting new patients

Locations

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

810 E 23rd St
Sioux Falls, SD 57105
Phone (605) 339-6823

810 E 23rd St
Fl 2
Sioux Falls, SD 57105
Phone (605) 322-5123

Interoperability endpoints

  • Direct secure messaging: cassidy.gebhart.1@21545.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1477107845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 E ARROWHEAD PKWY APT 106",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571107010",
            "telephone_number": "605-695-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 23RD ST FL 2",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052135",
            "telephone_number": "605-322-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571052135",
            "country_code": "US",
            "telephone_number": "605-331-5890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 W 69th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571088757",
            "country_code": "US",
            "telephone_number": "605-305-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "CASSIDY",
        "middle_name": "ERIN",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "GEBHART",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 4, 2020; 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.