Active NPI
Colton E Ketelhut, DR.
- Physical Medicine & Rehabilitation Physician
- Huron, SD
National Provider Identifier
1346924149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2160
- Practice address
- 1552 Dakota Ave S
Huron, SD 57350-4022 - Phone
- (605) 352-9498
- NPI assigned
- Jun 12, 2023
- Sex
- Male
- 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 Medicine & Rehabilitation Physician | 208100000X | 2160 | SD | Primary |
Addresses
Primary practice location
1552 Dakota Ave S
Huron, SD 57350-4022
Mailing address
1552 Dakota Ave S
Huron, SD 57350-4022
Phone (605) 352-9498
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2160 | SD | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1346924149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1552 DAKOTA AVE S",
"city": "HURON",
"state": "SD",
"postal_code": "573504022",
"telephone_number": "605-352-9498",
"fax_number": "605-352-3452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1552 DAKOTA AVE S",
"city": "HURON",
"state": "SD",
"postal_code": "573504022",
"telephone_number": "605-352-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETELHUT",
"first_name": "COLTON",
"middle_name": "E",
"credential": "DR.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SD",
"license": "2160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.