Active NPI
Janelle Van Otterloo
- Orthopedic Physical Therapist
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2621
- Practice address
- 810 E 23Rd St FL 2
Sioux Falls, SD 57105-2135 - Phone
- (605) 322-5123
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2621 | SD | Primary |
Addresses
Primary practice location
810 E 23Rd St FL 2
Sioux Falls, SD 57105-2135
Mailing address
809 W Tradewinds St
Sioux Falls, SD 57108-4112
Phone (507) 227-8714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, SD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2311 Yorkshire Dr
Suite 2
Brookings, SD 57006-2446
Phone (605) 697-7336
300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351
400 22ND Ave
Brookings, SD 57006-2450
Phone (605) 697-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2621 | SD | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
300 W 5th St
Miller, SD 57362
Phone (605) 853-0158
810 E 23rd St
Fl 2
Sioux Falls, SD 57105
Phone (605) 322-5123
501 Summit St
Yankton, SD 57078
Phone (605) 655-1201
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Brookings, SD
- NPI 1932281029
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- Emergency Care Clinic/Center
- Yankton, SD
- NPI 1861611683
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Neonatal-Perinatal Medicine Physician
- Sioux Falls, SD
- NPI 1073585949
-
- Multi-Specialty Clinic/Center
- Brookings, SD
- NPI 1134558158
-
- Rural Health Clinic/Center
- Arlington, SD
- NPI 1902123581
-
- General Practice Physician
- Yankton, SD
- NPI 1205703659
-
- Psychologist
- Yankton, SD
- NPI 1275872707
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1538568928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1174906747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 W TRADEWINDS ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571084112",
"telephone_number": "507-227-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E 23RD ST FL 2",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052135",
"telephone_number": "605-322-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN OTTERLOO",
"first_name": "JANELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "SD",
"license": "2621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.