Gregory Earl Cagle, PT

Individual provider Active NPI Physical Therapist · Rapid City, SD

NPI 1104015445 · NPPES record last updated Sep 19, 2021

Key facts

NPI
1104015445
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2154 (SD)
Practice address
1110 W Omaha St Ste 3
Rapid City, SD 57701-8097
Phone
(605) 721-5950
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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 Inc (7 clinicians)
The Physical Therapy Center of Sturgis, PC (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
24512CAMDSpeech-Language Pathologist

Practice roles

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

Specialties & licenses

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

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

Other providers in Rapid City, SD

All providers in Rapid City, SD · Physical Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.