Individual provider Active NPI

Sara Ginkens, PTA

  • Physical Therapy Assistant
  • Spearfish, SD
National Provider Identifier
1932720166
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0611 Issued in SD
Practice address
520 N Canyon St
Spearfish, SD 57783-2320
Phone
(605) 642-7996
NPI assigned
Apr 28, 2020
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0611 SD Primary

Addresses

Primary practice location

520 N Canyon St
Spearfish, SD 57783-2320

Mailing address

1925 Reserve St Apt 12
Spearfish, SD 57783-3319
Phone (308) 360-3441

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

LicenseStateTypeSpecialty
0611SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Matson Therapy, LLC CurrentSince Apr 5, 2021 Accepting new patients
Black Hills Physical Therapy, Inc. CurrentSince May 3, 2020 Accepting new patients

Locations

520 N Canyon St
Spearfish, SD 57783
Phone (605) 642-7996

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1932720166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 RESERVE ST APT 12",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833319",
            "telephone_number": "308-360-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINKENS",
        "first_name": "SARA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.