Active NPI
Alexandra Erickson, DPT
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1124409495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2045
- Practice address
- 1000 E 23Rd St
Sioux Falls, SD 57105-2108 - Phone
- (605) 322-2100
- NPI assigned
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1968 | ND | |
| Physical Therapist | 225100000X | 2045 | SD | Primary |
Addresses
Primary practice location
1000 E 23Rd St
Sioux Falls, SD 57105-2108
Mailing address
1000 E 23Rd St
Sioux Falls, SD 57105-2108
Phone (605) 322-2100
Other practice location 1
115 Vivian St W
Park River, ND 58270-4540
Phone (701) 284-7500 ext. 570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1968 | Other | ND | ND STATE LICENSE |
Other names 1
- Alexandra Jares
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1968 | ND | MD | General Practice Dentistry |
| 2045 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1124409495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E 23RD ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052108",
"telephone_number": "605-322-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 23RD ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052108",
"telephone_number": "605-322-2100"
}
],
"practiceLocations": [
{
"address_1": "115 Vivian St W",
"address_purpose": "LOCATION",
"city": "Park River",
"state": "ND",
"postal_code": "582704540",
"country_code": "US",
"telephone_number": "701-284-7500 x570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERICKSON",
"first_name": "ALEXANDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1968",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "2045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND STATE LICENSE",
"identifier": "1968",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "JARES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.