Organization Active NPI

Independent Explorers Occupational Therapy Prof LLC

  • Occupational Therapist
  • Spearfish, SD
National Provider Identifier
1699611855
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
INDEPENDENT EXPLORERS OCCUPATIONAL THERAPY PROF LLC
Practice address
1919 Stampede Dr
Spearfish, SD 57783-9559
Phone
(605) 639-9367
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Kelsey BonavidaNPI 1992199350
Title
Authorized Official
Phone
(605) 639-9367

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1919 Stampede Dr
Spearfish, SD 57783-9559

Mailing address

1919 Stampede Dr
Spearfish, SD 57783-9559

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": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1699611855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 STAMPEDE DR",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577839559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 STAMPEDE DR",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577839559",
            "telephone_number": "605-639-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT EXPLORERS OCCUPATIONAL THERAPY PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "BONAVIDA",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "605-639-9367"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.