NPIMap

Individual provider Active NPI

Katie L Naslund, MSPT

  • Physical Therapist
  • Beresford, SD
National Provider Identifier
1639140262
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03841 Issued in IA
Practice address
1109 W Cedar St
Beresford, SD 57004-1524
Phone
(605) 763-5096
Fax
(605) 763-2206
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03841 IA Primary

Addresses

Primary practice location

1109 W Cedar St
Beresford, SD 57004-1524

Mailing address

1109 W Cedar St
Beresford, SD 57004-1524
Phone (605) 763-5096

Other identifiers 3

IdentifierTypeStateIssuer
42147982000OtherNEBRASKA MEDICAID
0474916MedicaidIA
5835808OtherSOUTH DAKOTA MEDICAID

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Area Cooperative Past Accepting new patients
Physical Therapy Specialists PC Physical Therapist Past Accepting new patients
Physical Therapy Specialists PC Physical Therapist Past Accepting new patients
Southeast Area Cooperative Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1639140262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W CEDAR ST",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041524",
            "telephone_number": "605-763-5096",
            "fax_number": "605-763-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W CEDAR ST",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041524",
            "telephone_number": "605-763-5096",
            "fax_number": "605-763-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASLUND",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA MEDICAID",
            "identifier": "42147982000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474916",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA MEDICAID",
            "identifier": "5835808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beresford, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.