Active NPI
Hovdes Physical Therapy Clinic
- Physical Therapist
- Clark, SD
National Provider Identifier
1245304435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0799
- Legal business name
- HOVDES PHYSICAL THERAPY CLINIC
- Practice address
- 312 1St Ave W
Clark, SD 57225-1405 - Phone
- (605) 532-4212
- Fax
- (605) 532-1343
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sandra Hovde, PT
- Title
- Physical Therapist Owner
- Phone
- (605) 532-4212
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0799 | SD | Primary |
| Physical Therapist | 225100000X | 1194 | SD |
Addresses
Primary practice location
312 1St Ave W
Clark, SD 57225-1405
Mailing address
312 1St Ave W
Clark, SD 57225-1405
Phone (605) 532-4212
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110411 | Other | SD | BERKLEY RISK ADMIN |
| 22223 | Other | SD | ANN LARSON FIRST CHOICE |
| 7079 | Other | SD | ANN LARSON AVERA |
| 14518 | Other | SD | SANDRA HOVDE FIRST CHOICE |
| 20729 | Other | SD | SANDRA HOVDE SIOUX VALLEY |
| 14479 | Other | SD | AMERICAN FAMILY PROVIDER |
| 21256 | Other | SD | ANN LARSON SIOUX VALLEY |
| 4997989 | Other | SD | BCBS PROVIDER NUMBER |
| 5831183 | Medicaid | SD | |
| 5833542 | Medicaid | SD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Clark, SD
- NPI 1457397812
-
- General Practice Dentistry
- Clark, SD
- NPI 1104857440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256688000000",
"number": "1245304435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 1ST AVE W",
"city": "CLARK",
"state": "SD",
"postal_code": "572251405",
"telephone_number": "605-532-4212",
"fax_number": "605-532-1343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 1ST AVE W",
"city": "CLARK",
"state": "SD",
"postal_code": "572251405",
"telephone_number": "605-532-4212",
"fax_number": "605-532-1343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOVDES PHYSICAL THERAPY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2009-10-28",
"status": "A",
"authorized_official_last_name": "HOVDE",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
"authorized_official_telephone_number": "605-532-4212",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "SD",
"license": "0799",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "SD",
"license": "1194",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BERKLEY RISK ADMIN",
"identifier": "110411",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANN LARSON FIRST CHOICE",
"identifier": "22223",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANN LARSON AVERA",
"identifier": "7079",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANDRA HOVDE FIRST CHOICE",
"identifier": "14518",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANDRA HOVDE SIOUX VALLEY",
"identifier": "20729",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN FAMILY PROVIDER",
"identifier": "14479",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANN LARSON SIOUX VALLEY",
"identifier": "21256",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "4997989",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5831183",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5833542",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clark, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.