| Functional Kids, Pllc | |
|
3000 E Jackson St, Sioux Falls, SD 57108 | |
| (605) 759-8466 | |
| (605) 231-4362 |
| Full Name | Functional Kids, Pllc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 3000 E Jackson St, Sioux Falls, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881295590 | NPI | - | NPPES |
| 2022155 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Sarah Ann Dickes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740680768 PECOS PAC ID: 0042666570 Enrollment ID: I20240214001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Kids, Pllc 3000 E Jackson St, Sioux Falls, SD 57108 Ph: (605) 759-8466 | Functional Kids, Pllc 3000 E Jackson St, Sioux Falls, SD 57108 Ph: (605) 759-8466 |
Mary Taylor Lee, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5020 S Tennis Ln Ste 6, Sioux Falls, SD 57108 Phone: 605-409-9533 | |
Timothy David Myers, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-334-5630 Fax: 605-332-5327 | |
Jenna Ann Houseman, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1000 N West Ave Ste 210, Sioux Falls, SD 57104 Phone: 605-231-2490 | |
Beth M Micke, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2501 W 26th St, Sioux Falls, SD 57105 Phone: 605-782-2300 Fax: 605-782-2301 | |
Polly Ann Rames, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 N West Ave, Ste 210, Sioux Falls, SD 57104 Phone: 605-338-9891 | |
Eric Szymonski, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-334-5630 Fax: 605-332-5327 | |
Leslie A Bouma, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 West 69th Street, Suite 105, Sioux Falls, SD 57108 Phone: 605-331-0044 Fax: 605-331-0088 |