Individual provider Active NPI

Kaitlin Davies

  • Physical Therapist
  • Sioux Falls, SD
National Provider Identifier
1821539669
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10541 Issued in MN
Practice address
1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Phone
(605) 334-5630
NPI assigned
Mar 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10541 MN Primary

Addresses

Primary practice location

1720 S Cliff Ave
Sioux Falls, SD 57105-2129

Mailing address

315 Oxford St
Worthington, MN 56187-1601
Phone (507) 372-2232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922002697 WA Practitioner - Physical Therapist in Private Practice 2062916059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danielle Lowary Occupational Therapy LLCGroup PAC ID 6901227529, 2 clinicians

Practice addresses (Care Compare)

568 Pine St
Omak, WA 98841-9622
Phone (509) 846-7453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10541MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Lowary Occupational Therapy LLC CurrentSince Jul 10, 2025 Accepting new patients
Prairie Rehabilitation Services, Inc. Physical Therapist PastSince Aug 28, 2022 Accepting new patients
Prairie Rehabilitation Services, Inc. Physical Therapist Past Accepting new patients

Locations

568 Pine St
Omak, WA 98841
Phone (509) 557-8320

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1821539669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 OXFORD ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871601",
            "telephone_number": "507-372-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052129",
            "telephone_number": "605-334-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10541",
            "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 Mar 13, 2017; 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.