Individual provider Active NPI

Brenda Keever-Ward, MSPT,CPI

  • Physical Therapist
  • Chamberlain, SD
National Provider Identifier
1306938865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0813 Issued in SD
Practice address
200 Paul Gust Rd
Chamberlain, SD 57325-1031
Phone
(605) 234-1287
Fax
(605) 234-1288
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0813 SD Primary

Addresses

Primary practice location

200 Paul Gust Rd
Chamberlain, SD 57325-1031

Mailing address

PO Box 97
Chamberlain, SD 57325-0097
Phone (605) 234-1287

Other identifiers 2

IdentifierTypeStateIssuer
4996060OtherSDWELLMARK BC/BS
5834180MedicaidSD

Other names 1

  • Mrs. Brenda Ward Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209001363 SD Practitioner - Physical Therapist in Private Practice 2860535259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winner Physical Therapy IncGroup PAC ID 1759363690, 6 clinicians

Practice addresses (Care Compare)

809 Jackson St
Burke, SD 57523-2065
Phone (605) 842-7188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0813SDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Winner Physical Therapy Inc Physical Therapist CurrentSince Mar 15, 2024 Accepting new patients

Locations

116 N Main Ave
Presho, SD 57568
Phone (605) 842-7188

825 E 8th St
Ste 204
Winner, SD 57580
Phone (605) 842-7188

Organizations & group practices 1

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306938865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573250097",
            "telephone_number": "605-234-1287",
            "fax_number": "605-234-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PAUL GUST RD",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573251031",
            "telephone_number": "605-234-1287",
            "fax_number": "605-234-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEVER-WARD",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "MSPT,CPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "4996060",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5834180",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "WARD",
            "prefix": "MRS.",
            "credential": "MSPT,CPI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chamberlain, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.