Active NPI
Jaclyn N Iverson, PT, DPT
- Physical Therapist
- Aberdeen, SD
National Provider Identifier
1235425802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1554
- Practice address
- 6 N Roosevelt St
Aberdeen, SD 57401-3348 - Phone
- (605) 725-9900
- Fax
- (605) 725-9902
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- 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 | 1554 | SD | Primary |
Addresses
Primary practice location
6 N Roosevelt St
Aberdeen, SD 57401-3348
Mailing address
6 N Roosevelt St
Aberdeen, SD 57401-3348
Phone (605) 725-9900
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1235425802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 N ROOSEVELT ST",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574013348",
"telephone_number": "605-725-9900",
"fax_number": "605-725-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 N ROOSEVELT ST",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574013348",
"telephone_number": "605-725-9900",
"fax_number": "605-725-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERSON",
"first_name": "JACLYN",
"middle_name": "N",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.