Active NPI
Michael G Bargstadt, MSPT
- Physical Medicine & Rehabilitation Physician
- Dakota Dunes, SD
National Provider Identifier
1265402507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 02846
- Practice address
- 317 Dakota Dunes Blvd Ste D
Dakota Dunes, SD 57049-5341 - Phone
- (605) 242-5016
- Fax
- (605) 242-5018
- NPI assigned
- Jan 26, 2006
- Last updated
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 02846 | IA | Primary |
Addresses
Primary practice location
317 Dakota Dunes Blvd Ste D
Dakota Dunes, SD 57049-5341
Mailing address
PO Box 1533
Sioux City, IA 51102-1533
Phone (712) 234-8760
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214924 | Medicaid | IA | |
| 5831823 | Other | SD | TITLE 19 |
| 42147982000 | Other | NE | TITLE 19 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1027 | SD | MD | Chiropractor |
| 02846 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Specialists PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Dakota Dunes, SD
- NPI 1861515090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1265402507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1533",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511021533",
"telephone_number": "712-234-8760",
"fax_number": "712-234-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 DAKOTA DUNES BLVD STE D",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495341",
"telephone_number": "605-242-5016",
"fax_number": "605-242-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARGSTADT",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IA",
"license": "02846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214924",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TITLE 19",
"identifier": "5831823",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TITLE 19",
"identifier": "42147982000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dakota Dunes, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.