Active NPI
Jodi L. Devine, PT
- Physical Therapist
- Brookings, SD
National Provider Identifier
1891747721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1159
- Practice address
- 1204 Main Ave S
Brookings, SD 57006-3839 - Phone
- (056) 692-4325
- Fax
- (605) 301-4141
- NPI assigned
- May 17, 2006
- 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 | 1159 | SD | Primary |
Addresses
Primary practice location
1204 Main Ave S
Brookings, SD 57006-3839
Mailing address
1204 Main Ave S
Brookings, SD 57006-3839
Phone (605) 692-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1204 Main Ave S
Brookings, SD 57006-3839
Phone (605) 692-4325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1159 | SD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kleinjan Chiropractic, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1204 Main Ave S
Brookings, SD 57006
Phone (605) 692-4325
Organizations & group practices 1
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": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1891747721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 MAIN AVE S",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570063839",
"telephone_number": "605-692-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 MAIN AVE S",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570063839",
"telephone_number": "056-692-4325",
"fax_number": "605-301-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINE",
"first_name": "JODI",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.