Individual provider Active NPI

Molly C. Sichterman, O.T.

  • Occupational Therapist
  • Marshall, MN
National Provider Identifier
1932137536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
103301 Issued in MN
Practice address
1420 E College Dr Ste 704
Marshall, MN 56258-2065
Phone
(507) 532-3393
Fax
(507) 532-3343
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 103301 MN Primary

Addresses

Primary practice location

1420 E College Dr Ste 704
Marshall, MN 56258-2065

Mailing address

820 Roy St
Ortonville, MN 56278-1138
Phone (320) 839-4087

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

State licenses

LicenseStateTypeSpecialty
103301MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Stone Therapies, Inc Occupational Therapist Past Accepting new patients

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932137536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ROY ST",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781138",
            "telephone_number": "320-839-4087",
            "fax_number": "320-839-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E COLLEGE DR STE 704",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582065",
            "telephone_number": "507-532-3393",
            "fax_number": "507-532-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICHTERMAN",
        "first_name": "MOLLY",
        "middle_name": "C.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.