Individual provider Active NPI

Megan Nankivel, DPT

  • Physical Therapist
  • Watertown, SD
National Provider Identifier
1669880969
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1770 Issued in SD
Practice address
913 10TH Ave SE
Watertown, SD 57201-9600
Phone
(605) 878-3334
NPI assigned
Jul 30, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
For Life Therapy Inc 5 clinicians

Practice addresses (Care Compare)

913 10TH Ave SE
Watertown, SD 57201-9600
Phone (605) 878-3334

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
84.46
Improvement activities
40
Cost
74.81

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140926002024 SD Practitioner - Physical Therapist in Private Practice 4183844095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1770SDMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
For Life Therapy Inc CurrentSince Jul 31, 2014 Accepting new patients
For Life Human Performance Inc Physical Therapist PastSince Jul 31, 2014 Accepting new patients

Locations

913 10th Ave SE
Watertown, SD 57201
Phone (605) 878-3334

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1770 SD Primary
Geriatric Physical Therapist 2251G0304X 1770 SD

Addresses

NPPES NPI Registry

Primary practice location

913 10TH Ave SE
Watertown, SD 57201-9600

Mailing address

913 10TH Ave SE
Watertown, SD 57201-9600
Phone (605) 878-3334

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2014.

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1669880969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 10TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019600",
            "telephone_number": "605-878-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 10TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019600",
            "telephone_number": "605-878-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANKIVEL",
        "first_name": "MEGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1770",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "SD",
            "license": "1770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.