NPIMap

Organization Active NPI

High Plains Physical Therapy II LLC

  • Physical Therapy Clinic/Center
  • Black Hawk, SD
National Provider Identifier
1114453339
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HIGH PLAINS PHYSICAL THERAPY II LLC
Practice address
5610 Peaceful Pines Rd #4
Black Hawk, SD 57718-9253
Phone
(605) 348-9530
Fax
(605) 737-0874
NPI assigned
May 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cody A Young, PTNPI 1811971443
Title
Member/Owner
Phone
(605) 348-9530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X SD Primary

Addresses

Primary practice location

5610 Peaceful Pines Rd #4
Black Hawk, SD 57718-9253

Mailing address

PO Box 474
Black Hawk, SD 57718-0474
Phone (605) 348-9530

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114453339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "BLACK HAWK",
            "state": "SD",
            "postal_code": "577180474",
            "telephone_number": "605-348-9530",
            "fax_number": "605-737-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 PEACEFUL PINES RD #4",
            "city": "BLACK HAWK",
            "state": "SD",
            "postal_code": "577189253",
            "telephone_number": "605-348-9530",
            "fax_number": "605-737-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PLAINS PHYSICAL THERAPY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "605-348-9530",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Hawk, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.