Active NPI
Tonja Gilmore, MS, OTR/L, SIPT
- Occupational Therapist
- Yankton, SD
National Provider Identifier
1821465014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 30972 434TH Ave
Yankton, SD 57078-6700 - Phone
- (802) 535-1557
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | |||
| Human Factors Occupational Therapist | 225XH1300X | |||
| Low Vision Occupational Therapist | 225XL0004X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Pediatric Occupational Therapist | 225XP0200X |
Addresses
Primary practice location
30972 434TH Ave
Yankton, SD 57078-6700
Mailing address
30972 434TH Ave
Yankton, SD 57078-6700
Phone (802) 535-1557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029-9904-ET | Other | SD | CONTRACTOR'S EXCISE TAX LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ncot Services | Occupational Therapist | Current | Accepting new patients |
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.
-
- Occupational Therapist
- Yankton, SD
- NPI 1003688128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1821465014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30972 434TH AVE",
"city": "YANKTON",
"state": "SD",
"postal_code": "570786700",
"telephone_number": "802-535-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30972 434TH AVE",
"city": "YANKTON",
"state": "SD",
"postal_code": "570786700",
"telephone_number": "802-535-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "TONJA",
"credential": "MS, OTR/L, SIPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTRACTOR'S EXCISE TAX LICENSE",
"identifier": "1029-9904-ET",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.