Prosper Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROSPER PHYSICAL THERAPY PLLC

Practice address

420 Quartzite Ave
Tea, SD 57064-2669

Phone

(605) 940-1728

NPI assigned

Mar 27, 2023

Organization subpart

Yes

Parent organization

PROSPER PHYSICAL THERAPY AND PELVIC REHABAs reported in NPPES

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

Authorized official

Name

Dr. Sara A Panek, PT, DPTNPI 1972149516

Title

Physical Therapist

Phone

(605) 940-1728

Specialties & licenses 1

Addresses

Other names 1

• Prosper Physical Therapy and Pelvic Rehab Doing business as

Part of

Prosper Physical Therapy PLLC

Practitioners 1

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

• Sara Ann Panek, PT, DPT

  • Physical Therapist
  • Tea, SD
  • NPI 1972149516
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1265136014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 QUARTZITE AVE",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642669",
            "telephone_number": "605-940-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 QUARTZITE AVE",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642669",
            "telephone_number": "605-940-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER PHYSICAL THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSPER PHYSICAL THERAPY AND PELVIC REHAB",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "PANEK",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "605-940-1728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosper Physical Therapy and Pelvic Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Petersen, MA, CCC-SLP
• Erik Douglas Peterson, M.D.
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• Corey P Rothrock, MD
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• Jodi M Schnider, MA

• Physical Therapy Clinic/Center in Tea, SD
• Providers in Tea, SD by specialty
• Physical Therapy Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.