Individual provider Active NPI

Cathy Sulentic-Morcom, MPT

  • Physical Therapist
  • Spearfish, SD
National Provider Identifier
1063410447
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0265 Issued in SD
Practice address
520 N Canyon St
Spearfish, SD 57783-2320
Phone
(605) 642-7996
NPI assigned
Jul 11, 2005
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0265 SD Primary

Addresses

Primary practice location

520 N Canyon St
Spearfish, SD 57783-2320

Mailing address

520 N Canyon St
Spearfish, SD 57783-2320
Phone (605) 642-7996

Other identifiers 3

IdentifierTypeStateIssuer
0005652OtherSDWELLMARK BC/BS
112224000MedicaidWY
5830762MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000537 SD Practitioner - Physical Therapist in Private Practice 4183606478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matson Therapy, LLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Black Hills Physical Therapy, Inc. Physical Therapist CurrentSince Jul 1, 1998 Accepting new patients

Locations

520 N Canyon St
Spearfish, SD 57783
Phone (605) 642-7996

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1063410447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULENTIC-MORCOM",
        "first_name": "CATHY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "0005652",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112224000",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5830762",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.