Individual provider Active NPI

Ashton L Hallsted-Kallhoff, PT, DPT

  • Physical Therapist
  • Sioux City, IA
National Provider Identifier
1417843251
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6144 Issued in SD
Practice address
4295 Sergeant Rd
Sioux City, IA 51106-4625
Phone
(712) 560-0460
Fax
(712) 560-4137
NPI assigned
Jun 17, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP044663T IA
Physical Therapist 225100000X 6144 SD Primary

Addresses

Primary practice location

4295 Sergeant Rd
Sioux City, IA 51106-4625

Mailing address

4295 Sergeant Rd
Sioux City, IA 51106-4625

Other practice location 1

140 Reed St
Akron, IA 51001-7739
Phone (712) 560-0460

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

LicenseStateTypeSpecialty
CP044663TIAMDPhysical Therapist
6144SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physical Therapy and Wellness LLC Physical Therapist CurrentSince Feb 8, 2022 Accepting new patients

Locations

4295 Sergeant Rd
Sioux City, IA 51106
Phone (712) 560-0460

Organizations & group practices 1

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": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1417843251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064625",
            "telephone_number": "712-560-0460",
            "fax_number": "712-560-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Reed St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "IA",
            "postal_code": "510017739",
            "country_code": "US",
            "telephone_number": "712-560-0460",
            "fax_number": "712-560-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLSTED-KALLHOFF",
        "first_name": "ASHTON",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "CP044663T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "6144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.