Organization Active NPI

Hovdes Physical Therapy Clinic

  • Physical Therapist
  • Clark, SD
National Provider Identifier
1245304435
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0799 Issued in SD
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
Last updated
Oct 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Ms. Sandra Hovde, PTNPI 1720130115
Title
Physical Therapist Owner
Phone
(605) 532-4212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14518OtherSDSANDRA HOVDE FIRST CHOICE
22223OtherSDANN LARSON FIRST CHOICE
5833542MedicaidSD
5831183MedicaidSD
21256OtherSDANN LARSON SIOUX VALLEY
4997989OtherSDBCBS PROVIDER NUMBER
7079OtherSDANN LARSON AVERA
14479OtherSDAMERICAN FAMILY PROVIDER
110411OtherSDBERKLEY RISK ADMIN
20729OtherSDSANDRA HOVDE SIOUX VALLEY

National Provider Directory

National Provider Directory

Locations

312 1st Ave W
Clark, SD 57225
Phone (605) 532-4212

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0799",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1194",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDRA HOVDE FIRST CHOICE",
            "identifier": "14518",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANN LARSON FIRST CHOICE",
            "identifier": "22223",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5833542",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5831183",
            "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANN LARSON AVERA",
            "identifier": "7079",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN FAMILY PROVIDER",
            "identifier": "14479",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERKLEY RISK ADMIN",
            "identifier": "110411",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDRA HOVDE SIOUX VALLEY",
            "identifier": "20729",
            "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.

Verify at the official NPI Registry.