Lisa Mix, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

0144 Issued in SD

Practice address

101 W 69TH St
Suite 105
Sioux Falls, SD 57108-2438

Phone

(605) 331-0044

Fax

(605) 331-0088

NPI assigned

Mar 6, 2009

Last updated

Mar 6, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dakota Rehabilitation Center, Inc.

  • Physical Therapist
  • Sioux Falls, SD
  • NPI 1386727154
  NPD (past)

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1811137615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 69TH ST",
            "address_2": "SUITE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082438",
            "telephone_number": "605-331-0044",
            "fax_number": "605-331-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 69TH ST",
            "address_2": "SUITE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082438",
            "telephone_number": "605-331-0044",
            "fax_number": "605-331-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIX",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "SD",
            "license": "0144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Mitchell, DO
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• Eric Vincent Mittelstaedt, M.D.
• Sarah Jean Mittleider, RN
• Heather M Mitzel, CNP
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• Mobile Sonographers Inc
• Mobility PT
• Modern Dental LLC
• Amanda Marie Moe, CNM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.