Individual provider Active NPI

Kiana Bumann

  • Physical Therapist
  • Brookings, SD
National Provider Identifier
1225728546
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
302 W 6TH St
Brookings, SD 57006-1124
Phone
(605) 692-8848
NPI assigned
May 10, 2023
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 NU Primary

Addresses

Primary practice location

302 W 6TH St
Brookings, SD 57006-1124

Mailing address

302 W 6TH St
Brookings, SD 57006-1124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230802002608 SD Practitioner - Physical Therapist in Private Practice 1951762202 Reassigns benefits to 1 organization
I20230919003616 TX Practitioner - Physical Therapist in Private Practice 1951762202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro PT, Inc.Group PAC ID 8325139041, 4 clinicians

Practice addresses (Care Compare)

302 W 6TH St
Brookings, SD 57006-1159
Phone (605) 692-8848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro PT, Inc. Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Flandreau Santee Sioux Tribe CurrentSince Aug 8, 2023 Accepting new patients

Locations

302 W 6th St
Brookings, SD 57006
Phone (605) 203-3198

403 W Broad Ave
Flandreau, SD 57028
Phone (605) 997-2642

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1225728546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061124",
            "telephone_number": "605-692-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMANN",
        "first_name": "KIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.