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

Travis Bolstad, DPT

Individual provider Physical Therapist · NPI 1194325712

Travis Bolstad, DPT is a Physical Therapist in Private Practice in Brookings, South Dakota. Qualified in 2019, 7 years ago. Practices with City of Brookings, a 113-clinician group and accepts Medicare assignment. Licensed in Iowa and South Dakota.

Years since qualifying
7
Licensed in
IA, SD
In the registry since
2020
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

400 22nd Ave
Brookings, SD 57006-2450
Phone: (605) 697-7336
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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 2166 (SD)
Physical Therapist Taxonomy 225100000X · Licence 097556 (IA)

Record details

NPI number1194325712
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 1, 2020
Last updated in NPPESNovember 1, 2020
Certification dateNovember 1, 2020
Mailing address45790 216a St, Volga, SD 57071-6820

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice City Of Brookings — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Brookings