Levi B Pole, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1699 Issued in SD

Practice address

1407 E Cherry St
Vermillion, SD 57069-2602

Phone

(605) 624-7246

Fax

(605) 624-7177

NPI assigned

Sep 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment Care Compare group NPD
• Avera McKennan

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  • Physical Therapy Clinic/Center
  • Sioux Falls, SD
  • NPI 1700146396
  NPD
• Avera McKennan

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1376575514
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1013342971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 E CHERRY ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692602",
            "telephone_number": "605-624-7246",
            "fax_number": "605-624-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 E CHERRY ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692602",
            "telephone_number": "605-624-7246",
            "fax_number": "605-624-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLE",
        "first_name": "LEVI",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Person, M.D.
• Brandon I Peterson, DPT
• Kathryn Peterson, PA-C
• Taylor Kelsey Pfrommer, OTR
• Jennifer Mary Phelan, AUD
• Rachel Post, PH.D
• Progression Psychological & Behavioral Health Group
• Gary Prosser, DDS
• Psychological Services of Vermillion, LLC
• Jacob Frank Quail, M.D.

• Physical Therapist in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.