Individual provider Active NPI

Joseph R Sees, RPT

  • Physical Therapist
  • Wagner, SD
National Provider Identifier
1275692105
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1150 Issued in SD
Practice address
111 Washington Ave NW
Wagner, SD 57380
Phone
(605) 384-3621
Fax
(605) 384-3293
NPI assigned
Dec 6, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1150 SD Primary

Addresses

Primary practice location

111 Washington Ave NW
Wagner, SD 57380

Mailing address

111 Washington Ave NW
Wagner, SD 57380
Phone (605) 384-3621

Other identifiers 2

IdentifierTypeStateIssuer
5540030MedicaidSD
5540100MedicaidSD

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
1150SDMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275692105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WASHINGTON AVE NW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "57380",
            "telephone_number": "605-384-3621",
            "fax_number": "605-384-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WASHINGTON AVE NW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "57380",
            "telephone_number": "605-384-3621",
            "fax_number": "605-384-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEES",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5540030",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5540100",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wagner, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.