Active NPI
Matthew Sailors, RPT
- Physical Therapist
- Rapid City, SD
National Provider Identifier
1174593792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0470
- Practice address
- 7220 S Highway 16
Rapid City, SD 57702-8708 - Phone
- (605) 341-1414
- Fax
- (605) 341-7062
- NPI assigned
- Jan 25, 2006
- 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 | 0470 | SD | Primary |
Addresses
Primary practice location
7220 S Highway 16
Rapid City, SD 57702-8708
Mailing address
7220 S Highway 16
PO Box 6850
Rapid City, SD 57702-8708
Phone (605) 341-1414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1254560001 | Other | SD | CIGNA MEDICARE |
| 5831782 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0470 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1174593792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 S HIGHWAY 16",
"address_2": "PO BOX 6850",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028708",
"telephone_number": "605-341-1414",
"fax_number": "605-341-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 S HIGHWAY 16",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028708",
"telephone_number": "605-341-1414",
"fax_number": "605-341-7062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAILORS",
"first_name": "MATTHEW",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0470",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE",
"identifier": "1254560001",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5831782",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.