WINNER PHYSICAL THERAPY INC (NPI# 1063497873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063497873 |
Entity Type | Organization |
Organization Name | WINNER PHYSICAL THERAPY INC |
Practice Address |
825 E 8th St Suite 204 Winner SD 57580-2633 |
Mailing Address |
Po Box 435 Winner SD 57580-0435 |
Practice Telephone | 6058427188 |
Practice Fax Number | 6058427189 |
Mailing Telephone | 6058427188 |
Mailing Fax Number | 6058427189 |
Enumeration Date | 2005-12-14 |
Last Update Date | 2020-02-24 |
Authorized Official Name | MR. ARIC N CRAVEN (PRESIDENT) |
Authorized Official Telephone | 6058427188 |
Authorized Official Credential | DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | DAKOTA CARE | 9191865 | 01 |
NE | 10025389600 | 05 | |
SD | WELLMARK | 0008436 | 01 |
Street Address |
825 E 8TH ST SUITE 204 |
City | WINNER |
State | SD |
Zip Code | 57580-2633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558346353 | Abby L Jorgensen | Occupational Therapist | 825 E 8th St, Suite 204, Winner, SD 57580-2633 | 2005-12-14 |
1467937136 | Nakayla Lea Burnham | Nurse Practitioner | 825 E 8th St, Winner, SD 57580-2634 | 2018-09-28 |
1144731860 | Jill Marie Moser | Nurse Practitioner | 825 E 8th St, Winner, SD 57580-2634 | 2017-10-20 |
1730586736 | Winner Surgery Clinic, P.C. | Surgery | 825 E 8th St, Suite 202, Winner, SD 57580-2634 | 2014-11-20 |
1477969657 | Korie Kae Pravecek | Nurse Practitioner | 825 E 8th St, Suite 1, Winner, SD 57580-2634 | 2014-07-08 |
1649550401 | Winner Regional Healthcare Center | Family Medicine | 825 E 8th St, Winner, SD 57580-2634 | 2011-08-25 |
1013203603 | Rebecca J Olson | Nurse Practitioner | 825 E 8th St, Winner, SD 57580-2634 | 2011-06-22 |
1942591326 | Medical Imaging, Inc. | Radiologic Technologist | 825 E 8th St, Winner, SD 57580-2634 | 2011-04-20 |
1306140652 | Manke Family Dentistry, PC | Dentist | 825 E 8th St, Suite 203, Winner, SD 57580-2634 | 2010-12-30 |
1336287499 | Thomas Michael Kosina | Surgery | 825 E 8th St, Winner, SD 57580-2688 | 2007-02-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720328941 | Atlas Chiropractic of Winner, LLC | Chiropractor | 210 S. Main St, Suite #4, Winner, SD 57580 | 2013-02-25 |
1043350440 | Southern Plains Behavioral Health Services Inc | Community/Behavioral Health | 500 E 9th Street, Winner, SD 57580 | 2007-02-07 |
1275058752 | Madison Smither | Occupational Therapy Assistant | 745 E 8th St, Winner, SD 57580 | 2017-08-07 |
1750471298 | Melvin Herbert Harris I | Pharmacist | 1140 E 5th St, Winner, SD 57580-0070 | 2006-10-13 |
1760500805 | Cherlyn Leach | Counselor | 500 E 9th Street, Winner, SD 57580-0622 | 2007-03-27 |
1255539383 | Tera Lynn Pederson | Counselor | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
1447458575 | Brooke Larae Hossle | Registered Nurse | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
1487852596 | Courtney Paige Brozik | Social Worker | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
1023216132 | Sandra Ellen Fortuna | Social Worker | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
1720286826 | Naomi J Colberg | Counselor | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
Find all providers in zip 57580 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114453339 | High Plains Physical Therapy II LLC | Clinic/Center | 5610 Peaceful Pines Rd #4, Black Hawk, SD 57718-9253 | 2017-05-08 |
1083151468 | Milestones Pediatric Physical Therapy | Clinic/Center | 960 Nicole St, Rapid City, SD 57701-7047 | 2017-01-24 |
1689051682 | Avera Queen of Peace | Clinic/Center | 409 S Ohlman St, Mitchell, SD 57301-3106 | 2015-04-29 |
1386036119 | Betina K Basso | Clinic/Center | 13621 Neck Yoke Rd, Rapid City, SD 57702-7324 | 2015-03-03 |
1700146396 | Avera Mckennan | Clinic/Center | 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 | 2012-05-17 |
1346494697 | Avera Mckennan | Clinic/Center | 103 N Splitrock Blvd, Brandon, SD 57005-1529 | 2008-11-13 |
1073649901 | Dpt Inc | Clinic/Center | 1319 W Havens St, Mitchell, SD 57301-4116 | 2007-02-26 |
1568509289 | Performance Physical Therapy Prof | Clinic/Center | 215 E Jackson Blvd, Suite B, Spearfish, SD 57783-2176 | 2007-01-31 |
1952334013 | Howard Physical Therapy, PC | Clinic/Center | 131 South Main St., Howard, SD 57349 | 2006-07-09 |
1083616536 | Hart Physical Therapy Inc | Clinic/Center | 50 Minnesota St, Suite 2, Rapid City, SD 57701-6217 | 2005-08-15 |
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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.