Kelli Boekelheide, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2014 Issued in SD

Practice address

415 4TH Ave NE
Watertown, SD 57201-2614

Phone

(605) 886-8431

NPI assigned

May 22, 2019

Last updated

May 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avera St. Luke's

  dba Avera Internal Medicine Aberdeen

  • Internal Medicine Physician
  • Aberdeen, SD
  • NPI 1215100813
  Medicare reassignment NPD
• Avera St Lukes

  dba Avera St Lukes Hospital ER CRNA

  • Emergency Medicine Physician
  • Aberdeen, SD
  • NPI 1750271060
  NPD
• Avera St. Lukes

  dba Avera Medical Group Nephrology Aberdeen

  • Nephrology Physician
  • Aberdeen, SD
  • NPI 1477594430
  NPD

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1992362123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 15TH ST SE APT 2",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 4TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572012614",
            "telephone_number": "605-886-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEKELHEIDE",
        "first_name": "KELLI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Block, BA
• Megan Mary Block, MS,RD,LN
• Michelle Blood-Schilling
• Brandee Grace Bly, MS, NCC, LPC
• Body in Balance Chiropractic & Wellness, PC (Body in Balance Chiropractic & Wellness)
• Kristina R Boetel, CNP
• Jeffery Bohlmann, ADDICTION COUNSELOR
• Ryan Boike, D.C.
• Mark Eldon Bontreger, PSYCHOLOGIST
• Bradley G Meier O.D., Meier Visual Clinic

• Physical Therapist in Watertown, SD
• Providers in Watertown, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.