Individual provider Active NPI

Amy L Knippling, DPT

  • Physical Therapist
  • South Sioux City, NE
National Provider Identifier
1659674752
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1516 Issued in SD
Practice address
3900 Dakota Ave
Suite 6
South Sioux City, NE 68776
Phone
(402) 494-5173
Fax
(402) 494-5151
NPI assigned
Dec 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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 1516 SD Primary

Addresses

Primary practice location

3900 Dakota Ave
Suite 6
South Sioux City, NE 68776

Mailing address

3900 Dakota Ave
Suite 6
South Sioux City, NE 68776
Phone (402) 494-5173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204000659 SD Practitioner - Physical Therapist in Private Practice 0042441131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Sanford School of Medicine of University of South Dakota, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Queen of PeaceGroup PAC ID 9335050806, 122 clinicians

Practice addresses (Care Compare)

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1516SDMDEmergency Medicine Physician
3232NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace Physical Therapist CurrentSince May 9, 2022 Accepting new patients
Avera Queen of Peace CurrentSince May 9, 2022 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace Past Accepting new patients

Locations

200 Paul Gust Rd
Ste 109
Chamberlain, SD 57325
Phone (605) 234-0165

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

2100 N Kimball St
Mitchell, SD 57301
Phone (605) 996-8712

Organizations & group practices 5

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": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1659674752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 DAKOTA AVE",
            "address_2": "SUITE 6",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "68776",
            "telephone_number": "402-494-5173",
            "fax_number": "402-494-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DAKOTA AVE",
            "address_2": "SUITE 6",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "68776",
            "telephone_number": "402-494-5173",
            "fax_number": "402-494-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPPLING",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.