Active NPI
Kayla Anne Beacom, DPT
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1730725920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2177
- Practice address
- 1020 W 18TH St
Sioux Falls, SD 57104-4707 - Phone
- (605) 444-9700
- NPI assigned
- Nov 21, 2019
- 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 | 2177 | SD | Primary |
Addresses
Primary practice location
1020 W 18TH St
Sioux Falls, SD 57104-4707
Mailing address
3807 S Grand Slam PL Apt 4
Sioux Falls, SD 57110-4815
Phone (402) 209-0666
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2177 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1730725920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3807 S GRAND SLAM PL APT 4",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571104815",
"telephone_number": "402-209-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W 18TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571044707",
"telephone_number": "605-444-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACOM",
"first_name": "KAYLA",
"middle_name": "ANNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "2177",
"primary": true
}
],
"identifiers": [],
"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 Nov 21, 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.