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
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, PT
Title
Physical Therapist Owner
Phone
(605) 532-4212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 0799 SD Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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
110411OtherSDBERKLEY RISK ADMIN
22223OtherSDANN LARSON FIRST CHOICE
7079OtherSDANN LARSON AVERA
14518OtherSDSANDRA HOVDE FIRST CHOICE
20729OtherSDSANDRA HOVDE SIOUX VALLEY
14479OtherSDAMERICAN FAMILY PROVIDER
21256OtherSDANN LARSON SIOUX VALLEY
4997989OtherSDBCBS PROVIDER NUMBER
5831183MedicaidSD
5833542MedicaidSD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.