Chantel Marie Park, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

270A Issued in SD

Practice address

3900 S Cathy Ave
Sioux Falls, SD 57106-1518

Phone

(605) 361-8822

NPI assigned

May 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chantel Marie Fischer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1588229694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46737 236TH ST",
            "city": "COLMAN",
            "state": "SD",
            "postal_code": "570176530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S CATHY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061518",
            "telephone_number": "605-361-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHANTEL",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SD",
            "license": "270A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTEL",
            "last_name": "FISCHER",
            "middle_name": "MARIE",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Parham Chiropractic PC
• Tyler Ray Parham, D.C.
• Laura Parish
• Park Horizons LLC
• Carson Jude Park, DC
• Eugene S Park, M.D.
• Jessie Jean Park, LPC-MH
• Kaci Park, PA-C
• Nicola Park
• Parker School 60-4

• Occupational Therapy Assistant in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Occupational Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.