Individual provider Active NPI

Julie A Stroup, RPT

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
National Provider Identifier
1275556938
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0218 Issued in SD
Practice address
5132 S Cliff Ave
Ste # 4
Sioux Falls, SD 57108-5437
Phone
(605) 335-8326
Fax
(605) 373-9971
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0218 SD Primary

Addresses

Primary practice location

5132 S Cliff Ave
Ste # 4
Sioux Falls, SD 57108-5437

Mailing address

5132 S Cliff Ave
Ste 4
Sioux Falls, SD 57108-5437
Phone (605) 335-8326

Other identifiers 3

IdentifierTypeStateIssuer
4995623OtherSDBCBS
5834292MedicaidSD
0580076MedicaidIA

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

LicenseStateTypeSpecialty
0218SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy Limited Partnership PastSince Nov 28, 2016 Accepting new patients
Teamwork Physical Therapy Physical Medicine & Rehabilitation PastSince May 25, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1275556938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 S CLIFF AVE",
            "address_2": "STE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085437",
            "telephone_number": "605-335-8326",
            "fax_number": "605-332-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 S CLIFF AVE",
            "address_2": "STE # 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085437",
            "telephone_number": "605-335-8326",
            "fax_number": "605-373-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUP",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SD",
            "license": "0218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4995623",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5834292",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0580076",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.