Active NPI
Carrie J Larson, MS, OTR/L
- Occupational Therapist
- Pierre, SD
National Provider Identifier
1508220724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0764
- Practice address
- 801 E Sioux Ave
Pierre, SD 57501-3323 - Phone
- (605) 224-3161
- Fax
- (605) 224-3426
- NPI assigned
- Apr 13, 2016
- 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 Therapist | 225X00000X | 0764 | SD | Primary |
Addresses
Primary practice location
801 E Sioux Ave
Pierre, SD 57501-3323
Mailing address
801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-3161
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0764 | SD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1508220724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E SIOUX AVE",
"city": "PIERRE",
"state": "SD",
"postal_code": "575013323",
"telephone_number": "605-224-3161",
"fax_number": "605-224-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E SIOUX AVE",
"city": "PIERRE",
"state": "SD",
"postal_code": "575013323",
"telephone_number": "605-224-3161",
"fax_number": "605-224-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "CARRIE",
"middle_name": "J",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-13",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pierre, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.