DR. CHRISTOPHER T DIETRICH (NPI# 1063403905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063403905 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER T DIETRICH |
| Credential | MD |
| Practice Address |
1136 Jackson Blvd Rapid City SD 57702-4335 |
| Practice Telephone | 6057217246 |
| Practice Fax Number | 6053414501 |
| Mailing Telephone | 6057217246 |
| Mailing Fax Number | 6053414501 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2011-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 5661 | SD | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
5661 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | MEDICA | 0122767 | 01 |
| SD | NEBRASKA MEDICAID | 41194500700 | 01 |
| SD | WYOMING MEDICAID | 121334200 | 01 |
| SD | 1063403905 | 05 | |
| SD | WELLMARK BCBS | 0100322 | 01 |
| SD | WELLMARK BCBS | 0006332 | 01 |
| SD | WYOMING MEDICAID | 115322600 | 01 |
| SD | SANFORD HEALTH PLAN | 45827 | 01 |
| SD | DAKOTACARE | 5661 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900692 | Christopher Dietrich | Physical Therapist | 804 State St Unit 5, Quincy, IL 62301-4968 | 2020-04-10 |
| 1578000881 | Christopher Dietrich | Behavior Technician | 800 Ferrari, Suite 100, Ontario, CA 91764-5030 | 2017-01-24 |
| 1356887756 | Christopher Dietrich | Marriage & Family Therapist | 712 S Center St, Reno, NV 89501-2304 | 2017-01-10 |
| 1871988774 | Christopher Dietrich | Internal Medicine | 2800 10th Ave N, Billings, MT 59101-0703 | 2015-03-30 |
| 1962890939 | Christopher David Dietrich | Physician Assistant | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 | 2014-12-29 |
| 1013967462 | Christopher Wayne Dietrich | Physician Assistant | 8333 Naab Rd, Suite 250, Indianapolis, IN 46260-5924 | 2006-05-10 |
| Street Address |
1136 JACKSON BLVD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518957133 | Crystal L Walton | Physical Medicine & Rehabilitation | 1136 Jackson Blvd, Rapid City, SD 57702-4335 | 2005-10-25 |
| 1134302482 | Setliff Sinus Clinic | Internal Medicine | 1136 Jackson Blvd, Ste # 2, Rapid City, SD 57702-4396 | 2007-12-10 |
| 1932183308 | The Rehab Doctors PC | Pain Medicine | 1136 Jackson Blvd, Suite 3, Rapid City, SD 57702-4397 | 2005-11-30 |
| 1063403848 | Brett D Lawlor | Physical Medicine & Rehabilitation | 1136 Jackson Blvd, Rapid City, SD 57702-4335 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023342953 | The Sleep Health Center | Physical Medicine & Rehabilitation | 2929 5th St Ste 240, Rapid City, SD 57701-7338 | 2009-09-24 |
| 1174500821 | Peter E Vonderau | Physical Medicine & Rehabilitation | 1136 Jackson Blvd Ste 3, Rapid City, SD 57702-4397 | 2005-12-23 |
| 1518957133 | Crystal L Walton | Physical Medicine & Rehabilitation | 1136 Jackson Blvd, Rapid City, SD 57702-4335 | 2005-10-25 |
| 1932616505 | Heather Dawne Lenox | Physical Medicine & Rehabilitation | 2000 Wesleyan Blvd, Rapid City, SD 57702-9340 | 2018-01-04 |
| 1285043653 | Danielle Sabo Vrooman | Physical Medicine & Rehabilitation | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2014-08-10 |
| 1013228402 | Joshua S Sole | Physical Medicine & Rehabilitation | 2805 5th St, 100, Rapid City, SD 57701-7306 | 2010-06-30 |
| 1386838324 | Trevor Ryan Anderson | Physical Medicine & Rehabilitation | 1136 Jackson Blvd Ste 3, Rapid City, SD 57702-4397 | 2007-09-04 |
| 1164571386 | Craig G Mills | Physical Medicine & Rehabilitation | 2929 5th Street, 240, Rapid City, SD 57701 | 2007-01-09 |
| 1083763288 | K Alan Kelts Md Steven K Hata Md Robert C Finley Md Etal Ptrs | Physical Medicine & Rehabilitation | 2929 5th St, Ste 240, Rapid City, SD 57701-7363 | 2007-01-09 |
| 1063403848 | Brett D Lawlor | Physical Medicine & Rehabilitation | 1136 Jackson Blvd, Rapid City, SD 57702-4335 | 2005-11-02 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.