Individual provider Active NPI

Nancy Rausch, MPT

  • Physical Therapist
  • Sioux Falls, SD
National Provider Identifier
1003064429
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1162 Issued in SD
Practice address
815 S Minnesota Ave
Sioux Falls, SD 57104-4828
Phone
(605) 231-5586
Fax
(605) 231-5587
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1162 SD Primary

Addresses

Primary practice location

815 S Minnesota Ave
Sioux Falls, SD 57104-4828

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141217002432 SD Practitioner - Physical Therapist in Private Practice 2668795998 Reassigns benefits to 1 organization
I20250805001642 NV Practitioner - Physical Therapist in Private Practice 2668795998 Reassigns benefits to 1 organization
Practice locations: Henderson, NV

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon Jackson P TGroup PAC ID 2961480363, 9 clinicians

Practice addresses (Care Compare)

100 N Green Valley Pkwy
Suite 335
Henderson, NV 89074-7704
Phone (702) 898-7633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6699NVMDGeneral Practice Dentistry
1162SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Jun 1, 2014 Accepting new patients
Avera McKennan CurrentSince Jun 1, 2014 Accepting new patients
Brandon Jackson, P T Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Brandon Jackson PT Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 335
Henderson, NV 89074
Phone (702) 898-7633

4765 S Durango Dr
Ste 106
Las Vegas, NV 89147
Phone (702) 898-7633

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

810 E 23rd St
Fl 2
Sioux Falls, SD 57105
Phone (605) 322-5123

800 E 21st St
Sioux Falls, SD 57105
Phone (605) 322-2754

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1003064429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044828",
            "telephone_number": "605-231-5586",
            "fax_number": "605-231-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.