Individual provider Active NPI

Mitchell G Oehlerts, DPT

  • Physical Therapist
  • Beresford, SD
National Provider Identifier
1073236006
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2580 Issued in SD
Practice address
101 E Cedar St
Beresford, SD 57004-1809
Phone
(605) 763-8037
Fax
(605) 231-4952
NPI assigned
Sep 23, 2022
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 2580 SD Primary

Addresses

Primary practice location

101 E Cedar St
Beresford, SD 57004-1809

Mailing address

9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000

Other practice location 1

1407 E Cherry St
Vermillion, SD 57069-2602
Phone (605) 624-7246

Other practice location 2

801 Summit St
Yankton, SD 57078-3338
Phone (605) 665-3861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221008000318 SD Practitioner - Physical Therapist in Private Practice 4789060153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Therapy LLCGroup PAC ID 5193707057, 4 clinicians

Practice addresses (Care Compare)

101 E Cedar St
Beresford, SD 57004-1809
Phone (605) 763-8037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Therapy LLC Physical Therapist CurrentSince Sep 23, 2022 Accepting new patients

Locations

9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 268-7213

101 E Cedar St
Beresford, SD 57004
Phone (605) 763-8037

1407 E Cherry St
Vermillion, SD 57069
Phone (605) 624-7246

801 Summit St
Yankton, SD 57078
Phone (605) 665-0058

Organizations & group practices 1

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": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1073236006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298935",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CEDAR ST",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041809",
            "telephone_number": "605-763-8037",
            "fax_number": "605-231-4952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Vermillion",
            "state": "SD",
            "postal_code": "570692602",
            "country_code": "US",
            "telephone_number": "605-624-7246",
            "fax_number": "605-624-7177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Summit St",
            "address_purpose": "LOCATION",
            "city": "Yankton",
            "state": "SD",
            "postal_code": "570783338",
            "country_code": "US",
            "telephone_number": "605-665-3861",
            "fax_number": "605-665-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OEHLERTS",
        "first_name": "MITCHELL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beresford, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.