Avera McKennan
NPI 1629499132ActiveOrganization· Physical Therapist· Sioux Falls, SD
Physical Therapist in Sioux Falls, South Dakota, registered in NPPES in December 2013. The authorized official on file is Ronald Joseph Place, MD, President/Ceo. Enrolled in Medicare as dme supplier - orthotic personnel.
Overview
| NPI | 1629499132 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2013 |
| Last updated in NPPES | Nov 13, 2024 |
| Certified by provider | Nov 13, 2024 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Orthotic Personnel (SD) |
|---|
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