Individual provider Active NPI

Erin Elizabeth Kannegieter, PTA

  • Physical Therapy Assistant
  • Milbank, SD
National Provider Identifier
1629319231
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0356 Issued in SD
Practice address
1103 South 2ND Street
Milbank, SD 57252
Phone
(605) 432-4556
Fax
(605) 432-5725
NPI assigned
Mar 6, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0356SDMDOccupational Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0356 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

1103 South 2ND Street
Milbank, SD 57252

Mailing address

1103 South 2ND Street
Milbank, SD 57252
Phone (605) 432-4556

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2013.

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1629319231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 SOUTH 2ND STREET",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "57252",
            "telephone_number": "605-432-4556",
            "fax_number": "605-432-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 SOUTH 2ND STREET",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "57252",
            "telephone_number": "605-432-4556",
            "fax_number": "605-432-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNEGIETER",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milbank, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.