Active NPI
Abby L Jorgensen, OT
- Occupational Therapist
- Winner, SD
National Provider Identifier
1558346353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0578
- Practice address
- 825 E 8TH St
Suite 204
Winner, SD 57580-2633 - Phone
- (605) 842-7188
- Fax
- (605) 842-7189
- NPI assigned
- Dec 14, 2005
- Last updated
- Aug 17, 2011
- 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 | 0578 | SD | Primary |
Addresses
Primary practice location
825 E 8TH St
Suite 204
Winner, SD 57580-2633
Mailing address
PO Box 435
Winner, SD 57580-0435
Phone (605) 842-7188
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5836150 | Other | SD | MEDICAID |
| 9245763 | Other | SD | DAKOTACARE |
| 5836152 | Other | SD | MEDICAID |
| 28717 | Other | SD | SANDFORD HEALTH PLAN |
| 10134 | Other | SD | AVERA HEALTH PLAN |
| 4995629 | Other | SD | WELLMARK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1558346353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 435",
"city": "WINNER",
"state": "SD",
"postal_code": "575800435",
"telephone_number": "605-842-7188",
"fax_number": "605-842-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E 8TH ST",
"address_2": "SUITE 204",
"city": "WINNER",
"state": "SD",
"postal_code": "575802633",
"telephone_number": "605-842-7188",
"fax_number": "605-842-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSEN",
"first_name": "ABBY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "5836150",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "9245763",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "5836152",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANDFORD HEALTH PLAN",
"identifier": "28717",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVERA HEALTH PLAN",
"identifier": "10134",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "4995629",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winner, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.