Active NPI
Melissa Zastoupil
- Occupational Therapist
- Worthington, MN
National Provider Identifier
1881122869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105400
- Practice address
- 315 Oxford St
Worthington, MN 56187-1601 - Phone
- (507) 372-2232
- NPI assigned
- Jun 2, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 105400 | MN | Primary |
Addresses
Primary practice location
315 Oxford St
Worthington, MN 56187-1601
Mailing address
1720 S Cliff Ave
Sioux Falls, SD 57105-2129
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105400 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Rehabilitation Services, Inc. | Occupational Therapist | Past | Accepting new patients |
| Prairie Rehabilitation Services, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Worthington, MN
- NPI 1245959105
Occupational Therapist
-
- Physical Therapist
- Sioux Falls, SD
- NPI 1902892409
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496361600000",
"number": "1881122869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 OXFORD ST",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561871601",
"telephone_number": "507-372-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZASTOUPIL",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2017-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MN",
"license": "105400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worthington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.