Renee Kneip, O.T.

Individual provider Active NPI Occupational Therapist · Sioux Falls, SD

NPI 1780849869 · NPPES record last updated Jun 21, 2010

Key facts

NPI
1780849869
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
0133 (SD)
Practice address
4500 S Prince of Peace PL
Suite 1
Sioux Falls, SD 57103-5830
Phone
(605) 322-5600
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0133SDMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0133 SD Yes

Addresses

Primary practice location

4500 S Prince of Peace PL
Suite 1
Sioux Falls, SD 57103-5830

Mailing address

PO Box 5045
Attn: Prov Enrollment
Sioux Falls, SD 57117-5045
Phone (605) 322-6428

Other identifiers

IdentifierTypeStateIssuer
1780849869OtherBCBSMN
1780849869OtherSDWELLMARK BCBS; TRICARE
1780849869MedicaidMN
10025846700MedicaidNE
1780849869MedicaidIA
9290501OtherSDDAKOTACARE

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Occupational Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.