Active NPI
Jill Wenande
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1336490218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1606
- Practice address
- 1210 W 18TH St
Suite LL01
Sioux Falls, SD 57104-4647 - Phone
- (605) 328-1860
- Fax
- (605) 328-1640
- NPI assigned
- Oct 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1606 | SD | Primary |
Addresses
Primary practice location
1210 W 18TH St
Suite LL01
Sioux Falls, SD 57104-4647
Mailing address
7709 W 53Rd St
Sioux Falls, SD 57106-7546
Phone (605) 328-1630
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1336490218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 W 53RD ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571067546",
"telephone_number": "605-328-1630",
"fax_number": "605-328-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 W 18TH ST",
"address_2": "SUITE LL01",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571044647",
"telephone_number": "605-328-1860",
"fax_number": "605-328-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENANDE",
"first_name": "JILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-02",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1606",
"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 Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.