Gomathi Kanniappan, | |
1400 S Marion Rd, Apt-204, Sioux Falls, SD 57106-0411 | |
(605) 413-4226 | |
Not Available |
Full Name | Gomathi Kanniappan |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1400 S Marion Rd, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891197109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0926 (South Dakota) | Primary |
Provider Name | Aegis Group Practice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972288728 PECOS PAC ID: 5193036432 Enrollment ID: O20231018000657 |
Mailing Address | Practice Location Address |
---|---|
Gomathi Kanniappan, 1400 S Marion Rd, Apt-204, Sioux Falls, SD 57106-0411 Ph: (605) 413-4226 | Gomathi Kanniappan, 1400 S Marion Rd, Apt-204, Sioux Falls, SD 57106-0411 Ph: (605) 413-4226 |
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 |