Organization Active NPI

Miranda Lynn Freesemann

  • Pediatric Occupational Therapist
  • Sioux Falls, SD
National Provider Identifier
1619217775
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0869 Issued in SD
Legal business name
MIRANDA LYNN FREESEMANN
Practice address
2701 S Sandstone Cir
Sioux Falls, SD 57103-6511
Phone
(605) 212-7428
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Miranda Lynn Freesemann, MS, OTR/LNPI 1396085452
Title
Occupational Therapist
Phone
(605) 212-7428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 0869 SD Primary

Addresses

Primary practice location

2701 S Sandstone Cir
Sioux Falls, SD 57103-6511

Mailing address

2701 S Sandstone Cir
Sioux Falls, SD 57103-6511
Phone (605) 212-7428

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1619217775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S SANDSTONE CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571036511",
            "telephone_number": "605-212-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S SANDSTONE CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571036511",
            "telephone_number": "605-212-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA LYNN FREESEMANN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "FREESEMANN",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "605-212-7428",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SD",
            "license": "0869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 26, 2013; 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.