Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Staci A.g. Wietfeld, DPT, OCS

Individual provider Physical Therapist · NPI 1487802641

MS. Staci A.g. Wietfeld, DPT, OCS is a Physical Therapist in Private Practice in Sioux Falls, South Dakota. Qualified in 1997, 29 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment. Licensed in Minnesota and South Dakota.

Years since qualifying
29
Licensed in
MN, SD
In the registry since
2008
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1100 E 21st St Ste 402
Sioux Falls, SD 57105-1000
Phone: (605) 322-5080
Fax: (605) 322-5085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1370 (SD)
Physical Therapist Taxonomy 225100000X · Licence 6094 (MN)

Record details

NPI number1487802641
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , OCS
Sole proprietorNo
NPI enumeratedAugust 29, 2008
Last updated in NPPESAugust 29, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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