CMS-1500 Box 24J / 33a • NPI
1629499132
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
6100 S LOUISE AVE STE 1275, SIOUX FALLS, SD, 57108-6029
✓ 9-Digit EDI 837 ZIP+4 (57108-6029)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1629499132 (AVERA MCKENNAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1629499132 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AVERA MCKENNAN |
| Plain-English Specialty | Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: 225100000X (Physical Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6100 S LOUISE AVE STE 1275, SIOUX FALLS, SD, 57108-6029 |
| Practice Telephone / Fax | Tel: (605) 322-8000 |
| Administrative Mailing Address | PO BOX 5045, SIOUX FALLS, SD, 57117-5045 |
| Enumeration & Last Sync | Enumerated: 2013-12-31 | CMS Record Updated: 2024-11-13 |
| Authorized Official | RONALD PLACE (President/CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225100000X)
What Does Taxonomy Code 225100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AVERA MCKENNAN)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: N/A | License: Verified | Primary: Yes (Primary) |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: N/A | License: Verified | Primary: Secondary |
235Z00000X — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers | State: N/A | License: Verified | Primary: Secondary |
332B00000X — Durable Medical Equipment & Medical SuppliesPlain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies | State: N/A | License: Verified | Primary: Secondary |
335E00000X — Prosthetic/Orthotic SupplierPlain English: Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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