Katelynn Nicole Warejcka, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2209 Issued in SD

Practice address

1950 E 4TH St
Pierre, SD 57501-4201

Phone

(605) 945-6121

NPI assigned

Sep 16, 2019

Last updated

Dec 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katelynn N Runge Former name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caring Edge Op LLCGroup PAC ID 6406114131, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Caring Edge Op LLC

  • Clinic/Center
  • Eagle, ID
  • NPI 1700399359

  Physical Therapist, SD

  Medicare reassignment Care Compare group NPD
• Legacy Primary Care PLLC

  • Adult Medicine Physician
  • Grand Forks, ND
  • NPI 1265277115
  NPD
• Big Stone Therapies Montague LLC

  • Physical Therapy Clinic/Center
  • Montague, MI
  • NPI 1073021093

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1194375857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19580 SCOUT LN",
            "city": "SAINT ONGE",
            "state": "SD",
            "postal_code": "577797913",
            "telephone_number": "605-491-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E 4TH ST",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014201",
            "telephone_number": "605-945-6121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 E 8th St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Winner",
            "state": "SD",
            "postal_code": "575802633",
            "country_code": "US",
            "telephone_number": "605-842-7188",
            "fax_number": "605-842-7189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAREJCKA",
        "first_name": "KATELYNN",
        "middle_name": "NICOLE",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYNN",
            "last_name": "RUNGE",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wal-Mart Stores, Inc. (Vision Center 30-1685)
• Ashley Waldner
• Walgreen Co (Walgreens #10572)
• Clinton Walls, M.D.
• Walmart Inc. (Walmart Pharmacy 10-1685)
• Shon Anthony Weaver, O.D.
• Amy Weller, PT
• Rita L Wendt, RNA
• Jonathan Joseph Werner, MD
• Wendy Whitaker, MSW, CSW, CATC

• Physical Therapist in Pierre, SD
• Providers in Pierre, 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 Dec 20, 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.

Verify at the official NPI Registry.