Individual provider Active NPI

Gregory Earl Cagle, PT

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1104015445
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2154 Issued in SD
Practice address
1110 W Omaha St Ste 3
Rapid City, SD 57701-8097
Phone
(605) 721-5950
NPI assigned
Oct 23, 2007
Last updated
Sep 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH7950 AL
Physical Therapist 225100000X PT011438 GA
Physical Therapist 225100000X 1398 ND
Physical Therapist 225100000X 2154 SD Primary

Addresses

Primary practice location

1110 W Omaha St Ste 3
Rapid City, SD 57701-8097

Mailing address

1110 W Omaha St Ste 3
Rapid City, SD 57701-8097
Phone (605) 721-5950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930001907 SD Practitioner - Physical Therapist in Private Practice 7810805611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid City Physical Therapy IncGroup PAC ID 3870588437, 7 clinicians
The Physical Therapy Center of Sturgis, PCGroup PAC ID 9931684396, 2 clinicians

Practice addresses (Care Compare)

1110 W Omaha St
Suite 3
Rapid City, SD 57701-8097
Phone (605) 721-5950

2707 Lazelle St
Suite 2
Sturgis, SD 57785-2934
Phone (605) 561-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24512CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Physical Therapy Center of Sturgis, PC Physical Therapist CurrentSince Apr 1, 2026 Accepting new patients
Rapid City Physical Therapy, Inc CurrentSince Jul 29, 2019 Accepting new patients

Locations

1110 W Omaha St
Ste 3
Rapid City, SD 57701
Phone (605) 721-5950

2707 Lazelle St
Ste 2
Sturgis, SD 57785

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1104015445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W OMAHA ST STE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018097",
            "telephone_number": "605-721-5950",
            "fax_number": "605-721-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W OMAHA ST STE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018097",
            "telephone_number": "605-721-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "GREGORY",
        "middle_name": "EARL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7950",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011438",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1398",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; 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.