BLACK HILLS PELVIC HEALTH, LLC (NPI# 1366923401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366923401 |
| Entity Type | Organization |
| Organization Name | BLACK HILLS PELVIC HEALTH, LLC |
| Practice Address |
505 Kansas City St Ste 3 Rapid City SD 57701-3673 |
| Practice Telephone | 6052227336 |
| Mailing Telephone | 6052227336 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | TIM WALD (OWNER) |
| Authorized Official Telephone | 6052227336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
505 KANSAS CITY ST STE 3 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-3673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609303106 | Rebecca Jo Lynn Almeida | Occupational Therapist | 505 Kansas City St Ste 3, Rapid City, SD 57701-3673 | 2017-05-15 |
| 1730706482 | Kelsey Vandyke | Occupational Therapist | 505 Kansas City St Ste 3, Rapid City, SD 57701-3673 | 2020-06-29 |
| 1326663212 | Meghan Gavin | Speech-Language Pathologist | 505 Kansas City St Ste 3, Rapid City, SD 57701-3673 | 2020-06-16 |
| 1386100964 | Badlands Therapy Services | Occupational Therapist | 505 Kansas City St Ste 3, Rapid City, SD 57701-3673 | 2019-02-19 |
| 1417427444 | Nicole Mariah Jansen | Occupational Therapist | 505 Kansas City St Ste 3, Rapid City, SD 57701-3673 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083151468 | Milestones Pediatric Physical Therapy | Clinic/Center | 960 Nicole St, Rapid City, SD 57701-7047 | 2017-01-24 |
| 1386036119 | Betina K Basso | Clinic/Center | 13621 Neck Yoke Rd, Rapid City, SD 57702-7324 | 2015-03-03 |
| 1083616536 | Hart Physical Therapy Inc | Clinic/Center | 50 Minnesota St, Suite 2, Rapid City, SD 57701-6217 | 2005-08-15 |
| 1457823403 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702-8529 | 2018-12-31 |
| 1831660844 | Rapid City Regional Hospital, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702-8529 | 2018-12-17 |
| 1205104254 | Dynamic Kids Physical Therapy, LLC | Clinic/Center | 2411 Arrow St, Rapid City, SD 57702-4303 | 2011-12-06 |
| 1285925453 | Sundog Rehabilitation LLC | Clinic/Center | 3064 Covington St, Suite 104, Rapid City, SD 57703-7207 | 2011-04-22 |
| 1780886275 | Black Hills Healing Arts Inc | Clinic/Center | 3618 Canyon Lake Dr, Ste. 111, Rapid City, SD 57702-1027 | 2007-06-05 |
| 1366568743 | High Plains Physical Therapy Associates Inc | Clinic/Center | 614 East Blvd, Rapid City, SD 57701 | 2007-03-21 |
| 1740398833 | Rapid City Physical Therapy, Inc | Clinic/Center | 1110 W Omaha St Ste 3, Rapid City, SD 57701-8097 | 2006-08-28 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on BLACK HILLS PELVIC HEALTH, LLC.
| 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.