Active NPI
Dorothy Norrisdishman, OTRL
- Occupational Therapist
- Rapid City, SD
National Provider Identifier
1891813457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0015
- Practice address
- 7110 Jordan Dr
Rapid City, SD 57702 - Phone
- (605) 342-4412
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 0015 | SD | Primary |
Addresses
Primary practice location
7110 Jordan Dr
Rapid City, SD 57702
Mailing address
15605 Antelope Road
Rapid City, SD 57703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5832160 | Medicaid | SD |
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 |
|---|---|---|---|
| 0015 | SD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891813457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15605 ANTELOPE ROAD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7110 JORDAN DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57702",
"telephone_number": "605-342-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRISDISHMAN",
"first_name": "DOROTHY",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5832160",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.