Individual provider Active NPI

Kate Beacom, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
National Provider Identifier
1386261980
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1696 Issued in SD
Practice address
1000 N West Ave Ste 201
Sioux Falls, SD 57104-1374
Phone
(605) 231-2490
NPI assigned
Jun 29, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1696 SD Primary

Addresses

Primary practice location

1000 N West Ave Ste 201
Sioux Falls, SD 57104-1374

Mailing address

1000 N West Ave Ste 210
Sioux Falls, SD 57104-1314
Phone (605) 359-2642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720001547 SD Practitioner - Physical Therapist in Private Practice 3870917149 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1696SDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goodcare Athome Rehab, LLC CurrentSince Jul 16, 2020 Accepting new patients
Blue Stone Therapy Inc. Physical Medicine & Rehabilitation CurrentSince May 1, 2025 Accepting new patients

Locations

2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770

1000 N West Ave
Ste 210
Sioux Falls, SD 57104
Phone (605) 403-0933

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1386261980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N WEST AVE STE 210",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041314",
            "telephone_number": "605-359-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WEST AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041374",
            "telephone_number": "605-231-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACOM",
        "first_name": "KATE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SD",
            "license": "1696",
            "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 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.