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
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
The Physical Therapy Center of Sturgis, PC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190930001907 | SD | Practitioner - Physical Therapist in Private Practice | 7810805611 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24512 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid City Physical Therapy, Inc | Current |
Accepting new patients | |
| The Physical Therapy Center of Sturgis, PC | Physical Therapist | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Lauren Buyan
- Byrne Dental, Professional LLC
- James Kenneth Byrne
- Becky J Byrum
- Jody Cadotte
- Julia Cahill
- Chad Kenneth Cain
- Michele Renee Cain
- Olivia Michele Cain
- Christina Calamari
All providers in Rapid City, SD · Physical Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.