NPIMap

Organization Active NPI

Prairie Rehabilitation Services, Inc.

  • Physical Therapist
  • Worthington, MN
National Provider Identifier
1245959105
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRAIRIE REHABILITATION SERVICES, INC.
Practice address
315 Oxford St
Worthington, MN 56187-1601
Phone
(507) 372-2232
Fax
(507) 372-7326
NPI assigned
Aug 24, 2022
Last updated
Dec 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PRAIRIE REHABILITATION SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Lee S GlasoeNPI 1861488371
Title
Administrator
Phone
(605) 334-5630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

315 Oxford St
Worthington, MN 56187-1601

Mailing address

1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Phone (605) 334-5630

National Provider Directory

National Provider Directory
Tax ID family
Prairie Rehabilitation Services Inc23 organizations share this tax ID, including this one
Part of
Prairie Rehabilitation Services Inc

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

315 Oxford St
Worthington, MN 56187
Phone (507) 372-2232

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1245959105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052129",
            "telephone_number": "605-334-5630",
            "fax_number": "605-335-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OXFORD ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871601",
            "telephone_number": "507-372-2232",
            "fax_number": "507-372-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE REHABILITATION SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAIRIE REHABILITATION SERVICES, INC.",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "GLASOE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-334-5630"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.