Jenna Bortnem, PT, DPT
Individual provider Active NPI Physical Therapist · Mitchell, SD
NPI 1669822946 · NPPES record last updated Jan 28, 2020
Key facts
- NPI
- 1669822946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1905 (SD)
- Practice address
- 525 N Foster St
Mitchell, SD 57301-2966 - Phone
- (605) 995-2239
- NPI assigned
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vital Care, LLC
Practice addresses (Care Compare)
7600 S Minnesota Ave
Sioux Falls, SD 57108-2985
Phone (605) 444-8860
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230207001664 | SD | Practitioner - Physical Therapist in Private Practice | 5799157442 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Care, LLC | Current |
Accepting new patients | |
| Vital Care, LLC | Current |
Accepting new patients |
Locations
7600 S Minnesota Ave
Ste 202
Sioux Falls, SD 57108
4928 N Cliff Ave
Sioux Falls, SD 57104
Phone (605) 444-8820
7600 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 444-8860
Interoperability endpoints
- jenna.bortnem@sfuc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1905 | SD | Yes |
Addresses
Primary practice location
525 N Foster St
Mitchell, SD 57301-2966
Mailing address
2100 N Kimball St
Mitchell, SD 57301-1164
Phone (605) 996-8712
Other providers in Mitchell, SD
- Dawn Boender
- Jacqueline Bonrud
- Cody Lucas Bonte
- Lacey Bonte
- Jayden Renee Bormann
- Matthew Alvin Bosma
- Megan Christine Bosma
- Kassidy Boyd
- Bobbi J Brink
- Angela Mae Broughton
All providers in Mitchell, SD · Physical Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.