Kim Emrin Wieking, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7600 S Minnesota Ave
Sioux Falls, SD 57108-2985

Phone

(605) 444-8860

NPI assigned

Jul 25, 2006

Last updated

Aug 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vital Care, LLCGroup PAC ID 2769885920, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIGGAD/Endpoint/CIGGAD
• Direct secure messaging: kim.wieking@sfuc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vital Care, LLC

  dba Sioux Falls Urgent Care

  • Primary Care Clinic/Center
  • Sioux Falls, SD
  • NPI 1306411681
  Medicare reassignment Care Compare group NPD
• Sioux Falls Specialty Hospital LLP

  dba Midwest Family Care

  • Primary Care Clinic/Center
  • Sioux Falls, SD
  • NPI 1245516780
  Medicare reassignment
• Teamwork Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1225059074
  NPD (past) Authorized official
• Vital Care, LLC

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1639744915
  NPD
• Lemars Physical Therapy, PLLC

  dba LPT

  • Physical Therapy Clinic/Center
  • Le Mars, IA
  • NPI 1356556898
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1063435733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E. 20TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-334-6730",
            "fax_number": "605-444-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082985",
            "telephone_number": "605-444-8860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E. 20th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "57105",
            "country_code": "US",
            "telephone_number": "605-444-8289",
            "fax_number": "605-444-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEKING",
        "first_name": "KIM",
        "middle_name": "EMRIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0580068",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802927000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5830302",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4995624",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Marie Wiebers, ST
• Kyle Wiebesiek, ATC
• Jerome Donald Wiederrich, RPH
• Katie Wiederrich
• Michelle Lynn Wiegand
• Sarah L Wielenga, CRNA
• Tucker Wieneke, PHARMD
• Beth J Wienhold, MA, CFY-SLP
• Brian Wienk, PT, SCD
• Daryl R Wierda, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.