Active NPI
Annette Dianne Vollan-Kerber, PT, MS, PCS
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1669696795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0319
- Practice address
- 1100 W 41St St
Sioux Falls, SD 57105-6325 - Phone
- (605) 782-2400
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0319 | SD | Primary |
Addresses
Primary practice location
1100 W 41St St
Sioux Falls, SD 57105-6325
Mailing address
3808 N Martindale Rd
Sioux Falls, SD 57107-0117
Phone (605) 331-5621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21376 | Other | SD | SIOUX VALLEY HEALTH PLAN |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0319 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669696795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3808 N MARTINDALE RD",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571070117",
"telephone_number": "605-331-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 41ST ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571056325",
"telephone_number": "605-782-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLLAN-KERBER",
"first_name": "ANNETTE",
"middle_name": "DIANNE",
"name_prefix": "Mrs.",
"credential": "PT, MS, PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLAN",
"identifier": "21376",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.