Tial Ann Donovan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2000 Wesleyan Blvd
Rapid City, SD 57702-9340

Phone

(605) 343-3555

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21355/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1114576949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 WILLIAMS ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577036380",
            "telephone_number": "605-769-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WESLEYAN BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029340",
            "telephone_number": "605-343-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "TIAL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tial.donovan@aegistherapies.com",
            "affiliation": "N",
            "address_1": "2000 Wesleyan Blvd",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577029340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paige Marie Donahue, CNP
• Jeremy Joseph Donlon
• Nancy Donnelly, MNT
• Rosemary Grace Donnelly, RDN
• Lori Ann Donner-Smith
• Debbie Lee Doolittle, PHARMD
• Mindy Jo Doom, CNP
• April Doorn
• Jenna M Dormann, PA-C
• Matthew Scott Dormann, PT

• Physical Therapist in Rapid City, SD
• Providers in Rapid City, 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 Sep 4, 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.