Jenna Bortnem, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1905 Issued in SD

Practice address

525 N Foster St
Mitchell, SD 57301-2966

Phone

(605) 995-2239

NPI assigned

Jun 16, 2016

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vital Care, LLCGroup PAC ID 2769885920, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenna.bortnem@sfuc.eclinicaldirectplus.com

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

• Vital Care, LLC

  dba Sioux Falls Urgent Care

  • Primary Care Clinic/Center
  • Sioux Falls, SD
  • NPI 1306411681
  Medicare reassignment Care Compare group NPD
• Vital Care, LLC

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1639744915
  NPD

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1669822946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N KIMBALL ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011164",
            "telephone_number": "605-996-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N FOSTER ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012966",
            "telephone_number": "605-995-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTNEM",
        "first_name": "JENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Boender, MD
• Jacqueline Bonrud, RBT
• Cody Lucas Bonte, ATC
• Lacey Bonte, DNP
• Jayden Renee Bormann
• Matthew Alvin Bosma, DPT
• Megan Christine Bosma, DPT, ATC
• Kassidy Boyd, M.D.
• Bobbi J Brink, MA-CCC/SLP
• Angela Mae Broughton

• Physical Therapist in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.