Active NPI
Kevin Michael O'Brien, PT
- Physical Therapist
- Yankton, SD
National Provider Identifier
1700340072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1083
- Practice address
- 501 Summit St
Yankton, SD 57078-3855 - Phone
- (605) 668-8790
- Fax
- (605) 668-8793
- NPI assigned
- Jan 30, 2019
- Sex
- Male
- 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 | 1083 | SD | Primary |
Addresses
Primary practice location
501 Summit St
Yankton, SD 57078-3855
Mailing address
501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8790
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1700340072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SUMMIT ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783855",
"telephone_number": "605-668-8790",
"fax_number": "605-668-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SUMMIT ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783855",
"telephone_number": "605-668-8790",
"fax_number": "605-668-8793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.