TIM J KUDLOCK (NPI# 1720125438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720125438 |
| Entity Type | Individual |
| Full Name | TIM J KUDLOCK |
| Credential | PT |
| Practice Address |
215 E Jackson Blvd Suite B Spearfish SD 57783-2176 |
| Practice Telephone | 6057226880 |
| Practice Fax Number | 6057226889 |
| Mailing Telephone | 6057226880 |
| Mailing Fax Number | 6057226889 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 0542 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5831434 | 05 | |
| SD | BLUE CROSS BLUE SHIELD SD | 0041172 | 01 |
| Street Address |
215 E JACKSON BLVD SUITE B |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568509289 | Performance Physical Therapy Prof | Clinic/Center | 215 E Jackson Blvd, Suite B, Spearfish, SD 57783-2176 | 2007-01-31 |
| 1528105228 | Ann T Oldenkamp | Physical Therapist | 215 E Jackson Blvd, Suite B, Spearfish, SD 57783-2176 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091338 | Acupuncture of The Black Hills, LLC | Acupuncturist | 144 N. Main St., Spearfish, SD 57783 | 2016-05-19 |
| 1568695013 | Krew Enterprises, Inc Bda Comfort Keepers, 490 | Home Health | 119 East Grant Street, Ste 1, Spearfish, SD 57783 | 2009-09-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1104065317 | Heather Rae Glasford | Speech-Language Pathologist | 1107 Charles Street, Spearfish, SD 57783 | 2009-02-11 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1467670976 | Karin Wood | Counselor | 146 W. Illinois St., Ste A, Spearfish, SD 57783 | 2007-04-22 |
| 1205999315 | Black Hills Counseling Services | Counselor | 146 W Illinois Street, Suite A, Spearfish, SD 57783 | 2006-12-19 |
| 1154489920 | Brooke Melody Hvachovec Thompson | Occupational Therapist | Spearfish Regional Hospital, 1440 N Main Street, Spearfish, SD 57783 | 2006-12-05 |
| 1780758060 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 E Colorado Blvd, Spearfish, SD 57783 | 2006-11-20 |
| 1063584423 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 1420 N. 10th Street, Spearfish, SD 57783 | 2006-11-14 |
| Find all providers in zip 57783 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609393859 | Britt Wickett | Physical Therapist | 1450 Shoshone Ave, Spearfish, SD 57783-3033 | 2017-08-28 |
| 1649598517 | Peak Motion Physical Therapy, Inc | Physical Therapist | 412 W Jackson Blvd, Spearfish, SD 57783-1944 | 2010-05-17 |
| 1720240278 | Brandie Lynn Rainboth | Physical Therapist | 305 N Main St Ste 2, Spearfish, SD 57783-2334 | 2008-06-26 |
| 1750574257 | Kristen Noelle Feeser | Physical Therapist | 1333 N 5th St, Spearfish, SD 57783-1410 | 2007-08-20 |
| 1063410447 | Cathy Sulentic-morcom | Physical Therapist | 520 N Canyon St, Spearfish, SD 57783-2320 | 2005-07-11 |
| 1942828132 | Paige Brink | Physical Therapist | 412 W Jackson Blvd, Spearfish, SD 57783-1944 | 2020-07-14 |
| 1023673860 | Katie Ann Schuelke | Physical Therapist | 520 N Canyon St, Spearfish, SD 57783-2320 | 2019-05-07 |
| 1578064747 | Theresa Mary Ferrante | Physical Therapist | 520 N Canyon St, Spearfish, SD 57783-2320 | 2018-02-23 |
| 1710415708 | Joel Fundaun | Physical Therapist | 520 N Canyon St, Spearfish, SD 57783-2320 | 2017-06-02 |
| 1164898441 | Jane Ann Holstein | Physical Therapist | 1440 N Main St, Spearfish, SD 57783-1505 | 2015-08-20 |
| Find all providers in SPEARFISH | ||||
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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.