Organization Active NPI

Fly Kids Physical Therapy

  • Physical Therapy Clinic/Center
  • Rapid City, SD
National Provider Identifier
1003675398
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FLY KIDS PHYSICAL THERAPY
Practice address
2138 Jackson Blvd
Rapid City, SD 57702-3495
Phone
(605) 545-2814
NPI assigned
Mar 18, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jenna Fleischacker, PT, DPTNPI 1508383225
Title
Owner
Phone
(605) 545-2814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

2138 Jackson Blvd
Rapid City, SD 57702
Phone (605) 545-2814

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2138 Jackson Blvd
Rapid City, SD 57702-3495

Mailing address

412 Alpha Ave
Box Elder, SD 57719-2129
Phone (605) 545-2814

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2026.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1003675398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ALPHA AVE",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577192129",
            "telephone_number": "605-545-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023495",
            "telephone_number": "605-545-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY KIDS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "FLEISCHACKER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-545-2814",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.