Northeast Physical Therapy Group, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

0184 Issued in SD

Legal business name

NORTHEAST PHYSICAL THERAPY GROUP, INC.

Practice address

3395 12TH Ave NW
Watertown, SD 57201-7225

Phone

(605) 881-0164

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Rick Briggs

Title

Owner

Phone

(605) 881-0164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1174044150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572010113",
            "telephone_number": "605-881-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3395 12TH AVE NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017225",
            "telephone_number": "605-881-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PHYSICAL THERAPY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-881-0164"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SD",
            "license": "0184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Nielsen
• Jody Marie Niemann, OTR/L
• Roland Elroy Niewoehner, RPH
• Hollis D. Nipe, MD
• Northeast Orthodontic Associates. L.L.C.
• Northern Peak Chiropractic LLC
• NRS Arizona, PA
• Miranda A Nygaard, PA
• Sierra Rae Ohm, DC
• Oien Family Chiropractic Clinic, LLC

• Early Intervention Provider Agency in Watertown, SD
• Providers in Watertown, SD by specialty
• Early Intervention Provider Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.