Individual provider Active NPI

Kayla Jo Tolsma, PT

  • Physical Therapist
  • Mitchell, SD
National Provider Identifier
1093348005
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2194 Issued in SD
Practice address
910 S Edgerton St
Mitchell, SD 57301-4113
Phone
(605) 996-4778
Fax
(605) 996-3660
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2194 SD Primary

Addresses

Primary practice location

910 S Edgerton St
Mitchell, SD 57301-4113

Mailing address

910 S Edgerton St
Mitchell, SD 57301-4113
Phone (605) 996-4778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327002342 SD Practitioner - Physical Therapist in Private Practice 8729417639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Queen of PeaceGroup PAC ID 9335050806, 122 clinicians

Practice addresses (Care Compare)

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2194SDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace CurrentSince Oct 1, 2023 Accepting new patients
Avera Queen of Peace CurrentSince Oct 1, 2023 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace Past Accepting new patients

Locations

1850 N Main St
Mitchell, SD 57301

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

2100 N Kimball St
Mitchell, SD 57301
Phone (605) 996-8712

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1093348005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S EDGERTON ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014113",
            "telephone_number": "605-996-4778",
            "fax_number": "605-996-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S EDGERTON ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014113",
            "telephone_number": "605-996-4778",
            "fax_number": "605-996-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLSMA",
        "first_name": "KAYLA",
        "middle_name": "JO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.