Active NPI
Fly Kids Physical Therapy
- Physical Therapy Clinic/Center
- Rapid City, SD
National Provider Identifier
1003675398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, DPT
- 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.
-
- Pediatric Physical Therapist
- Rapid City, SD
- NPI 1508383225
National Provider Directory
National Provider DirectoryLocations
2138 Jackson Blvd
Rapid City, SD 57702
Phone (605) 545-2814
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.