Individual provider Active NPI

Jill Marie Honermann, MS,PT

  • Physical Therapist
  • Sioux Falls, SD
National Provider Identifier
1316016546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1148 Issued in SD
Practice address
1721 S Cleveland Ave Ste 200
Sioux Falls, SD 57103-5500
Phone
(605) 334-8616
NPI assigned
Nov 6, 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 1148 SD Primary

Addresses

Primary practice location

1721 S Cleveland Ave Ste 200
Sioux Falls, SD 57103-5500

Mailing address

5108 S Baneberry Ave
Sioux Falls, SD 57106-2834
Phone (605) 310-8618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1148SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Solutions, Inc. Physical Therapist Past Accepting new patients

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316016546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 S BANEBERRY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062834",
            "telephone_number": "605-310-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S CLEVELAND AVE STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571035500",
            "telephone_number": "605-334-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONERMANN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "MS,PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1148",
            "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 Jul 8, 2007; 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.