Kelly J Marshall, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0673 Issued in SD

Practice address

900 E 54TH St N Ste 200
Sioux Falls, SD 57104-0686

Phone

(605) 328-9300

Fax

(605) 328-9301

NPI assigned

Dec 30, 2009

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

• Kelly J Freidel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1639409493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 54TH ST N STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571040686",
            "telephone_number": "605-328-9300",
            "fax_number": "605-328-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "0673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FREIDEL",
            "middle_name": "J",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy L Marschall, PSY.D.
• Emily Marsh
• Heath Marsh, DC
• Marshall T. Lavin, DDS, PC
• Diane Raye Marshall, BS.RD.LN
• Jessica Martens, RBT
• Joel Christian Woo Martens, D.C.
• Kayla Marie Martens, CNP
• Rachel Martens
• Catherine Marie Martin Frederick, CNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.