Amanda Christine Jacobsma, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2099 Issued in SD

Practice address

201 E 38TH St
Sioux Falls, SD 57105

Phone

(605) 367-7900

NPI assigned

Jul 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sioux Falls Public School

  • Community Health Worker
  • Sioux Falls, SD
  • NPI 1669512414
  NPD (past)
• SHC Services Inc.

  • Skilled Nursing Facility
  • Federal Way, WA
  • NPI 1124306725
  NPD (past)
• Supplemental Healthcare

  • Home Health Agency
  • Federal Way, WA
  • NPI 1932487535
  NPD (past)

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1053699769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 38TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 38TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-367-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 S 336th St",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036385",
            "country_code": "US",
            "telephone_number": "866-835-8091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSMA",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WA",
            "license": "PT60176774",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SD",
            "license": "2099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Marie Jacobs, CNP
• Kacie Nicole Jacobsen-Ahlers, PA-C
• Amanda Kay Jacobsen, OTR/L
• Judy Jacobsen, PAC
• Lindsay Lorraine Jacobsen, RN
• Kristi Lynn Jacobsma, CAC
• Erik R. Jacobson, D.O.
• Erika Jean Jacobson, CSW-PIP, CAC
• Race Jacobson
• Travis Cory Jacobson

• Pediatric Physical Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Pediatric Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.