Active NPI
Brett D Teveldal, PT
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1144216458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1042
- Practice address
- 1720 S Cliff Ave
Sioux Falls, SD 57105-2129 - Phone
- (605) 334-5630
- Fax
- (605) 332-5327
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1042 | SD | Primary |
Addresses
Primary practice location
1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Mailing address
1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Phone (605) 334-5630
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5833143 | Medicaid | SD | |
| 27416 | Other | SD | SIOUX VALLEY HEALTH PLAN |
| 4994832 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 64-03937 | Other | SD | MEDICA |
| 64-04055 | Other | SD | MEDICA |
| 361J8TE | Other | SD | BLUE CROSS BLUE SHIELD MN |
| 5833144 | Medicaid | SD | |
| 64-03936 | Other | SD | MEDICA |
| 1042.1 | Other | SD | DAKOTACARE |
| 1810856 | Other | SD | ARAZ |
| 4996126 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 64-05333 | Other | SD | MEDICA |
| 4996418 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 5833142 | Medicaid | SD | |
| 5833140 | Medicaid | SD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1042 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Rehabilitation Services, Inc. | Physical Therapist | 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.
-
- Physical Therapist
- Sioux Falls, SD
- NPI 1902892409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144216458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052129",
"telephone_number": "605-334-5630",
"fax_number": "605-332-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052129",
"telephone_number": "605-334-5630",
"fax_number": "605-332-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEVELDAL",
"first_name": "BRETT",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5833143",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLAN",
"identifier": "27416",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4994832",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-03937",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-04055",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "361J8TE",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5833144",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-03936",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "1042.1",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "1810856",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4996126",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-05333",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4996418",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5833142",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5833140",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.