Active NPI
Melissa A Moyer, P.T.
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1083891295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1445
- Practice address
- 1210 W 18TH St Ste G01
Sioux Falls, SD 57104-4651 - Phone
- (605) 328-2663
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004170 | IA | |
| Physical Therapist | 225100000X | 1445 | SD | Primary |
| Physical Therapist | 225100000X | 070-016452 | IL |
Addresses
Primary practice location
1210 W 18TH St Ste G01
Sioux Falls, SD 57104-4651
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-2663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004170 | Other | IA | IOWA PT LICENSE NUMBER |
| 070-016452 | Other | IL | ILLINOIS PT LICENSE NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004170 | IA | MD | Physical Therapist |
| 070-016452 | IL | MD | Physical Therapist |
| 1445 | SD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center | Current | Accepting new patients | |
| Sanford Medical Center | Current | Accepting new patients | |
| Rock Valley Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
| Rock Valley Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
Locations
1210 W 18th St
Ste G01
Sioux Falls, SD 57104
Phone (605) 328-1395
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1093090342
-
- Rural Health Clinic/Center
- Clark, SD
- NPI 1699755413
-
- Physical Therapist
- Moline, IL
- NPI 1245373166
-
- Occupational Therapist
- Eldridge, IA
- NPI 1881540490
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1083891295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 W 18TH ST STE G01",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571044651",
"telephone_number": "605-328-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "MELISSA",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004170",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1445",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-016452",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA PT LICENSE NUMBER",
"identifier": "004170",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS PT LICENSE NO",
"identifier": "070-016452",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.