Active NPI
Shaina Lonneman
- Physical Therapist
- Corsica, SD
National Provider Identifier
1417412206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2055
- Practice address
- 455 N Dakota Ave
Corsica, SD 57328-2110 - Phone
- (507) 360-2361
- NPI assigned
- Feb 5, 2019
- Last updated
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 2055 | SD | Primary |
Addresses
Primary practice location
455 N Dakota Ave
Corsica, SD 57328-2110
Mailing address
1700 Pine St
Tyndall, SD 57066-2345
Phone (507) 360-2361
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 |
|---|---|---|---|
| 2055 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1417412206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 PINE ST",
"city": "TYNDALL",
"state": "SD",
"postal_code": "570662345",
"telephone_number": "507-360-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 N DAKOTA AVE",
"city": "CORSICA",
"state": "SD",
"postal_code": "573282110",
"telephone_number": "507-360-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONNEMAN",
"first_name": "SHAINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "2055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corsica, SD
- Douglas County Memorial Hospital (Prairie Pharmacy Corsica)
- Bethany Eggers
- Craig Haiar, PHARM.D.
- Nathan Hinker, CNP
- Leisure Living Inc
- Martha's Oasis Corsica, Inc.
- Ashton Rose Mednansky
- L L Menning, OD
- Midwest Mindset Counseling LLC
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Corsica)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.