Organization Active NPI

Theracare, Inc.

  • Speech-Language Pathologist
  • Custer, SD
National Provider Identifier
1104888635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
N/A Issued in SD
Legal business name
THERACARE, INC.
Practice address
602 Mount Rushmore Rd
Suite 2
Custer, SD 57730-2031
Phone
(605) 673-3488
Fax
(605) 673-3496
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rhonda Kaye Nitschelm, CCC-SLP
Title
Director/Speech-Language Pathologis
Phone
(605) 673-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X N/A SD Primary

Addresses

Primary practice location

602 Mount Rushmore Rd
Suite 2
Custer, SD 57730-2031

Mailing address

25354 Blue Skies Rd
Custer, SD 57730-7113
Phone (605) 673-3488

National Provider Directory

National Provider Directory

Locations

602 Mount Rushmore Rd
Ste 2
Custer, SD 57730
Phone (605) 673-3488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104888635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25354 BLUE SKIES RD",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577307113",
            "telephone_number": "605-673-3488",
            "fax_number": "605-673-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MOUNT RUSHMORE RD",
            "address_2": "SUITE 2",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577302031",
            "telephone_number": "605-673-3488",
            "fax_number": "605-673-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NITSCHELM",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "DIRECTOR/SPEECH-LANGUAGE PATHOLOGIS",
        "authorized_official_telephone_number": "605-673-3488",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Custer, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.