MS. MALISSA HOLM (NPI# 1982880472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982880472 |
| Entity Type | Individual |
| Full Name | MS. MALISSA HOLM |
| Credential | COTA |
| Practice Address |
1100 4th Ave E Mobridge SD 57601-1404 |
| Practice Telephone | 6058457231 |
| Practice Fax Number | 6058453848 |
| Mailing Telephone | 6058457231 |
| Mailing Fax Number | 6058453848 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 189A | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1100 4TH AVE E |
| City | MOBRIDGE |
| State | SD |
| Zip Code | 57601-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598716235 | Ggnsc Mobridge LLC | Skilled Nursing Facility | 1100 4th Ave E, Mobridge, SD 57601-1404 | 2006-05-15 |
| 1992217590 | Drew D Petersen | Physical Therapist | 1100 4th Ave E, Mobridge, SD 57601-1404 | 2017-11-03 |
| 1174067219 | Mobridge Care and Rehabilitation Center LLC | Skilled Nursing Facility | 1100 4th Ave E, Mobridge, SD 57601-1404 | 2016-12-08 |
| 1386820769 | Jennifer Lynn Landon | Occupational Therapy Assistant | 1100 4th Ave E, Mobridge, SD 57601-1404 | 2008-01-15 |
| 1417133901 | Kim Marie Hannan | Occupational Therapist | 1100 4th Ave E, Mobridge, SD 57601-1404 | 2008-01-14 |
| 1750566683 | Patty J Baumann | Physical Therapy Assistant | 1100 4th Ave E, Mobridge, SD 57601-1404 | 2008-01-09 |
| 1508049081 | Ggnsc Mobridge LLC | Assisted Living Facility | 1100 4th Ave E, Mobridge, SD 57601-1404 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881761096 | Alfred T Smith | Counselor | 1245 Hwy 1806th, Mobridge, SD 57601 | 2006-11-30 |
| 1912078429 | Carmen J. Cutt | Counselor | 12451 Highway 1806, Mobridge, SD 57601 | 2006-11-13 |
| 1629090162 | Craig Dockter | Optometrist | 1315 10th Ave, Mobridge, SD 57601 | 2006-07-24 |
| 1437786373 | Courtney M Nicholson | Counselor | 12451 Hwy 1806, Mobridge, SD 57601 | 2020-03-23 |
| 1922634062 | Mary Lerae Herman | Registered Nurse | 12451 Hwy 1806, Mobridge, SD 57601 | 2020-03-20 |
| 1063870194 | Karen Fryhling | Nurse Practitioner | 1309 10th Ave W, Mobridge, SD 57601 | 2016-02-03 |
| 1508271115 | Matthew Jacob Schaffer | Family Medicine | 1309 10th Ave W, Mobridge, SD 57601 | 2014-06-23 |
| 1871807206 | Shadow Anesthesia Services, LLC | Clinic/Center | 1401 10th Ave W, Mobridge, SD 57601 | 2010-07-27 |
| 1902051162 | Celeste Anne Karzon | Specialist | 12451 Hwy 1806, Mobridge, SD 57601 | 2008-12-01 |
| 1598975997 | Roxann Dakota Spottedeagle | Counselor | 12451 Hwy 1806, Mobridge, SD 57601 | 2007-05-23 |
| Find all providers in zip 57601 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386820769 | Jennifer Lynn Landon | Occupational Therapy Assistant | 1100 4th Ave E, Mobridge, SD 57601-1404 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336700715 | Barbara Jean Jost | Occupational Therapy Assistant | Good Samaritan Sioux Falls Village, 3901 South Marion Road, Sioux Falls, SD 57106 | 2019-06-26 |
| 1972168771 | Haley Rose Donahue | Occupational Therapy Assistant | 707 10th Ave S, Clear Lake, SD 57226-2151 | 2019-05-07 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1457849887 | Melodi Boke | Occupational Therapy Assistant | 17601 114th St, Lodgepole, SD 57640-6520 | 2018-05-01 |
| 1619378957 | Lynelle Hagedorn | Occupational Therapy Assistant | 20440 476th Ave, White, SD 57276-5914 | 2014-09-05 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1720338270 | Rachel Kay Brandriet | Occupational Therapy Assistant | 17356 447th Ave, Watertown, SD 57201-7629 | 2012-09-12 |
| 1649526344 | Rachel Helkenn Morehouse | Occupational Therapy Assistant | 515 N Union Ave, Madison, SD 57042-2045 | 2012-07-31 |
| 1316202674 | Caitlin Jen Bartholomew | Occupational Therapy Assistant | 519 Harter Dr, Rapid City, SD 57702-2412 | 2012-07-11 |
| 1841516580 | Lori Anne Cooper Gulick | Occupational Therapy Assistant | 2000 S Clover Ave, Sioux Falls, SD 57110-6935 | 2010-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.