Individual provider Active NPI

Kirsten Ducheneaux, P.T.

  • Physical Therapist
  • Gettysburg, SD
National Provider Identifier
1821025198
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1335 Issued in SD
Practice address
16734 Bia Rte 8 Armstrong
Gettysburg, SD 57442
Phone
(605) 222-3934
NPI assigned
Jun 26, 2006
Last updated
Jan 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1335 SD Primary
Athletic Trainer 2255A2300X 0451 SD

Addresses

Primary practice location

16734 Bia Rte 8 Armstrong
Gettysburg, SD 57442

Mailing address

PO Box 905
Eagle Butte, SD 57625-0905
Phone (605) 222-3934

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

State licenses

LicenseStateTypeSpecialty
0451SDMDPhysical Therapist
1335SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DX Therapy LLC Current Accepting new patients
Big Stone Therapies, Inc Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1821025198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576250905",
            "telephone_number": "605-222-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16734 BIA RTE 8 ARMSTRONG",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "57442",
            "telephone_number": "605-222-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHENEAUX",
        "first_name": "KIRSTEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1335",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "0451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.