Individual provider Active NPI

Amber Kenda Fessler, MS, OTR/L

  • Occupational Therapist
  • Rapid City, SD
National Provider Identifier
1861545253
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0637 Issued in SD
Practice address
2218 Jackson Blvd Ste 11
Rapid City, SD 57702-3452
Phone
(605) 646-3490
Fax
(605) 646-2581
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0637 SD Primary
Occupational Therapist 225X00000X 6062 NC

Addresses

Primary practice location

2218 Jackson Blvd Ste 11
Rapid City, SD 57702-3452

Mailing address

2218 Jackson Blvd Ste 11
Rapid City, SD 57702-3452
Phone (605) 646-3490

Other identifiers 1

IdentifierTypeStateIssuer
7301915MedicaidNC

Other names 1

  • Amber Kenda McQuistion Former name

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

State licenses

LicenseStateTypeSpecialty
6062NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision-N-Motion Occupational Therapy, LLC Occupational Therapist CurrentSince Jul 31, 2022 Accepting new patients

Locations

2218 Jackson Blvd
Ste 11
Rapid City, SD 57702
Phone (605) 608-0833

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1861545253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 JACKSON BLVD STE 11",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023452",
            "telephone_number": "605-646-3490",
            "fax_number": "605-646-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 JACKSON BLVD STE 11",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023452",
            "telephone_number": "605-646-3490",
            "fax_number": "605-646-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESSLER",
        "first_name": "AMBER",
        "middle_name": "KENDA",
        "name_prefix": "Miss",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "0637",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301915",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "MCQUISTION",
            "middle_name": "KENDA",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.