Individual provider Active NPI

Lisa Mary Huber, P.T.

  • Orthopedic Physical Therapist
  • Yankton, SD
National Provider Identifier
1144518895
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0236 Issued in SD
Practice address
2525 Fox Run Pkwy Ste 100
Yankton, SD 57078-5370
Phone
(605) 260-0918
Fax
(605) 260-0912
NPI assigned
Jul 15, 2011
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 0236 SD
Geriatric Physical Therapist 2251G0304X 0236 SD
Pediatric Physical Therapist 2251P0200X 0236 SD
Sports Physical Therapist 2251S0007X 0236 SD
Orthopedic Physical Therapist 2251X0800X 0236 SD Primary

Addresses

Primary practice location

2525 Fox Run Pkwy Ste 100
Yankton, SD 57078-5370

Mailing address

2525 Fox Run Pkwy Ste 100
Yankton, SD 57078-5370
Phone (605) 660-9862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170503002164 SD Practitioner - Physical Therapist in Private Practice 9133406903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians

Practice addresses (Care Compare)

2525 Fox Run Pkwy
Suite 200
Yankton, SD 57078-5371
Phone (605) 260-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0236SDMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health Services CurrentSince Apr 1, 2017 Accepting new patients
Sacred Heart Health Services CurrentSince Apr 1, 2017 Accepting new patients
Sacred Heart Health Services Current Accepting new patients

Locations

1000 W 4th St
Ste 8
Yankton, SD 57078
Phone (605) 655-1201

2525 Fox Run Pkwy
Ste 100
Yankton, SD 57078
Phone (605) 260-0918

2525 Fox Run Pkwy
Ste 200
Yankton, SD 57078
Phone (605) 260-2100

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1144518895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 FOX RUN PKWY STE 100",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785370",
            "telephone_number": "605-660-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 FOX RUN PKWY STE 100",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785370",
            "telephone_number": "605-260-0918",
            "fax_number": "605-260-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "LISA",
        "middle_name": "MARY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "SD",
            "license": "0236",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "SD",
            "license": "0236",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SD",
            "license": "0236",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "SD",
            "license": "0236",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SD",
            "license": "0236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.