Andrea Elizabeth Wood, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1193 Issued in SD

Practice address

317 Dakota Dunes Blvd
Ste. J
Dakota Dunes, SD 57049-5341

Phone

(605) 540-4516

Fax

(605) 242-0020

NPI assigned

Feb 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Elizabeth Erickson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Children's Care Hospital and School

  • Rehabilitation Clinic/Center
  • Rapid City, SD
  • NPI 1174722169
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1215277991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-590-4029",
            "fax_number": "630-590-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 DAKOTA DUNES BLVD",
            "address_2": "STE. J",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495341",
            "telephone_number": "605-540-4516",
            "fax_number": "605-242-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1193",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ERICKSON",
            "middle_name": "ELIZABETH",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber L Wisner, DDS
• Seth Wolles, ATC
• John A Wolpert, M.D.
• Michael L. Wolpert, M.D.
• Paul W. Wolpert, M.D.
• Angela Carole Woodall
• Connie Alison Zimmerman, LPN
• Robert G Zimmerman, M.D.

• Physical Therapist in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.