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 registered under 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 Not confirmed with CMS for 18 years — call before visiting
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

Other providers in Sioux Falls