Jennifer Osvog

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2029 Issued in SD

Practice address

411 Calumet Ave NW
De Smet, SD 57231-2114

Phone

(605) 860-3152

NPI assigned

Feb 26, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2024.

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1508367491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21504 428TH AVE",
            "city": "DE SMET",
            "state": "SD",
            "postal_code": "572316901",
            "telephone_number": "308-830-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CALUMET AVE NW",
            "city": "DE SMET",
            "state": "SD",
            "postal_code": "572312114",
            "telephone_number": "605-860-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSVOG",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent D Munger, RPH
• Kenzie L Munger
• Anne Marie Nopens
• Denise Olson, FNP-BC
• Franchesca Annemarie Opoku-Kusi, DC
• Lisa Petersen
• Devyn Jean Prodoehl
• Sanford Medical Center
• Shinamerica
• Rhonda Siver

• All providers in De Smet, SD
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.