Individual provider Active NPI

Kristin Wittmayer, M.S., OTR/L

  • Occupational Therapist
  • Sioux Falls, SD
National Provider Identifier
1922241173
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
684 Issued in SD
Practice address
6205 S. Minnesota Ave
Sioux Falls, SD 57108-2559
Phone
(605) 271-7100
Fax
(605) 271-7781
NPI assigned
Apr 16, 2009
Last updated
May 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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 684 SD Primary
Pediatric Occupational Therapist 225XP0200X 0684 SD

Addresses

Primary practice location

6205 S. Minnesota Ave
Sioux Falls, SD 57108-2559

Mailing address

6205 S. Minnesota Ave
Sioux Falls, SD 57108-2559
Phone (605) 271-7100

Other identifiers 1

IdentifierTypeStateIssuer
5837963MedicaidSD

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
684SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empower U LLC CurrentSince Dec 31, 2023 Accepting new patients
Move U LLC Occupational Therapist CurrentSince Mar 30, 2025 Accepting new patients
Angela R. Gulbranson OD, PC Past Accepting new patients
Angela R. Gulbranson, OD, PC Past Accepting new patients

Locations

5020 S Tennis Ln
Ste 6
Sioux Falls, SD 57108
Phone (605) 409-9533

7303 S Cliff Ave
Sioux Falls, SD 57108
Phone (605) 961-7250

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1922241173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 S. MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082559",
            "telephone_number": "605-271-7100",
            "fax_number": "605-271-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 S. MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082559",
            "telephone_number": "605-271-7100",
            "fax_number": "605-271-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMAYER",
        "first_name": "KRISTIN",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "684",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SD",
            "license": "0684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5837963",
            "state": "SD"
        }
    ],
    "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 May 13, 2019; 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.