Bonita Marie Albrecht, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

411 Calumet Ave NE
De Smet, SD 57231

Phone

(605) 854-3327

NPI assigned

Nov 12, 2019

Last updated

Nov 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1043855158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21692 435TH AVE",
            "city": "DE SMET",
            "state": "SD",
            "postal_code": "572317015",
            "telephone_number": "605-203-0296",
            "fax_number": "605-854-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CALUMET AVE NE",
            "city": "DE SMET",
            "state": "SD",
            "postal_code": "57231",
            "telephone_number": "605-854-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "BONITA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alese M Allerdings, M.D.
• Avera Queen of Peace (Avera Hoek Medical Clinic)
• Avera Queen of Peace (Avera De Smet Memorial Hospital)
• Avera Queen of Peace (Avera De Smet Memorial Hospital)
• Avera Queen of Peace (Avera De Smet Clinic)

• Physical Therapy Assistant in De Smet, SD
• Providers in De Smet, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.