Dorothea Bader, PTA
Individual provider Active NPI Physical Therapy Assistant · Spearfish, SD
NPI 1053533976 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053533976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0081 (SD)
- Practice address
- 1440 N Main Street
Spearfish, SD 57783 - Phone
- (605) 644-4000
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0081 | SD | Yes |
Addresses
Primary practice location
1440 N Main Street
Spearfish, SD 57783
Mailing address
Spearfish Regional Hospital
PO Box 3450
Rapid City, SD 57709
Phone (605) 644-4000
Other providers in Spearfish, SD
- Wayne Julius Anderson
- Allison Marie Angelbeck
- Martyann Apa
- Atlas LLC
- Charles K Austin
- Wesley Reid Badger
- Lee Burton Bailey
- David A Balt
- Melissa M Bardsley
- Cecily Jo Barnaud
All providers in Spearfish, SD · Physical Therapy Assistant 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.