Brian Wienk, PT, SCD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0639 Issued in SD

Practice address

3320 S Sycamore Ave
Suite 150
Sioux Falls, SD 57110-4532

Phone

(605) 231-5590

Fax

(605) 231-5589

NPI assigned

Sep 4, 2008

Last updated

Oct 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1316195209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-1980",
            "fax_number": "630-590-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 S SYCAMORE AVE",
            "address_2": "SUITE 150",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571104532",
            "telephone_number": "605-231-5590",
            "fax_number": "605-231-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENK",
        "first_name": "BRIAN",
        "credential": "PT, SCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0639",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SD",
            "license": "0639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS",
            "identifier": "1316195209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS/TRICARE",
            "identifier": "1316195209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9296204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Wiegand
• Kim Emrin Wieking, PT
• Sarah L Wielenga, CRNA
• Tucker Wieneke, PHARMD
• Beth J Wienhold, MA, CFY-SLP
• Daryl R Wierda, MD
• Jennifer Mae Wiese, MA, LPC-MH, LAC
• Melissa Wiese, LPC, ACT
• Megan Mattie Wiessner, M.A., CFY-SLP
• Staci A.G. Wietfeld, DPT, OCS

• Physical Therapist in Sioux Falls, SD
• Providers in Sioux Falls, 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 Oct 5, 2016; 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.