Ian Thomas Kopriva, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1845 Issued in SD

Practice address

4141 5TH St
Rapid City, SD 57701-6021

Phone

(605) 399-9565

Fax

(605) 399-9584

NPI assigned

May 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians

Black Hills Orthopedic and Spine Center IncGroup PAC ID 0648172932, 73 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.06 of 100Reported as group

Quality

99.26

Promoting interoperability

90

Improvement activities

40

Cost

92.59

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71180

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.

• Black Hills Orthopedic & Spine Center, Inc.

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1477523678
  Medicare reassignment Care Compare group NPD
• Black Hills Surgical Hospital, LLC

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1336009646
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1396124178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016021",
            "telephone_number": "605-399-9565",
            "fax_number": "605-399-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016021",
            "telephone_number": "605-399-9565",
            "fax_number": "605-399-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPRIVA",
        "first_name": "IAN",
        "middle_name": "THOMAS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Konechne, RN
• Geri Cory Konenkamp, LPC LMFT
• Michele Kooiman, PHARMD
• Olga Panchuk Kopp
• Elke Kopriva, PT
• Larry Kopriva, PT
• Cole Mitchell Kosmala
• Andrea Marie Kost
• Jeri Rene Kost, REGISTERED NURSE
• Bonnie Kottke, CDCT

• Physical Therapist in Rapid City, SD
• Providers in Rapid City, 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 May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.