Grant Boltjes, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1072 Issued in SD

Practice address

3513 S Harmony Dr
Sioux Falls, SD 57110-6032

Phone

(605) 371-0432

NPI assigned

May 11, 2016

Last updated

May 11, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1598111346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 S HARMONY DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106032",
            "telephone_number": "605-371-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 S HARMONY DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106032",
            "telephone_number": "605-371-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTJES",
        "first_name": "GRANT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SD",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Bolanos, DO
• Julie Catherine Bolding, RN
• Bolen Family Dentistry P.C. (Family Dentistry of Sioux Falls)
• Kelsey Bolkema, RBT
• Jessica Ann Boll, CNP
• April Dawn Bolton, MA, LPC, NCC
• David Richard Bolton, D.D.S.
• Angela Marie Bomgaars
• Paul M Bommersbach, CRNA
• Kristine Bonde

• Pediatric Physical Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Pediatric Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.