Individual provider Active NPI

Kyle Mollet, OTR/L

  • Occupational Therapist
  • Sioux Falls, SD
National Provider Identifier
1841712858
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0913 Issued in SD
Practice address
4500 S Prince of Peace PL
Sioux Falls, SD 57103-5830
Phone
(605) 322-5665
NPI assigned
Jul 11, 2017
Last updated
Jul 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0913 SD Primary

Addresses

Primary practice location

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

Mailing address

1916 S Shaw Ave
Sioux Falls, SD 57106-4782

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1841712858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 S SHAW AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S PRINCE OF PEACE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571035830",
            "telephone_number": "605-322-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLET",
        "first_name": "KYLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "0913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.