Jason Gauer, PT
Individual provider Active NPI Physical Therapist · Aberdeen, SD
NPI 1003068941 · NPPES record last updated May 15, 2015
Key facts
- NPI
- 1003068941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1055 (SD)
- Practice address
- 305 S State St
Aberdeen, SD 57401-4527 - Phone
- (605) 622-5000
- Fax
- (605) 622-5255
- NPI assigned
- Oct 22, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera St Lukes
Practice addresses (Care Compare)
805 1St Ave SE
Aberdeen, SD 57401-4611
Phone (605) 622-5878
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151020001544 | SD | Practitioner - Physical Therapist in Private Practice | 6406165182 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St. Lukes | Current |
Accepting new patients | |
| Avera St. Luke'S | Current | Accepting new patients | |
| Avera St. Luke'S | Current |
Accepting new patients |
Locations
805 1st Ave SE
Aberdeen, SD 57401
Phone (605) 622-2548
305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1055 | SD | Yes |
Addresses
Primary practice location
305 S State St
Aberdeen, SD 57401-4527
Mailing address
PO Box 4400
Aberdeen, SD 57402-4400
Phone (605) 622-5000
Other providers in Aberdeen, SD
- Robert Ashly Froke
- Michael Fucci
- Nona A Gab
- Latonya C.M. Gage
- Angela Kay Gaikowski
- Richard A Geary
- Adrianne Geditz
- Katelyn Geditz
- Kelcey Geditz
- Drew Geier
All providers in Aberdeen, SD · Physical Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.