Peggy A Smith, B.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0336 Issued in SD

Practice address

520 N Canyon St
Spearfish, SD 57783-2320

Phone

(605) 642-7996

Fax

(605) 642-5955

NPI assigned

Aug 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Matson Therapy, LLC

  dba Black Hills Physical Therapy

  • Physical Therapist
  • Spearfish, SD
  • NPI 1710565684
  NPD (past)
• Ridgeview Physical Therapy PLLC

  • Physical Therapist
  • Tucson, AZ
  • NPI 1770982589
  NPD (past)
• W & W Rehab Services,L.L.C.

  • Physical Therapist
  • Tucson, AZ
  • NPI 1972614089
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1275727745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996",
            "fax_number": "605-642-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996",
            "fax_number": "605-642-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PEGGY",
        "middle_name": "A",
        "credential": "B.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "336",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2110",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "806",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275727745",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4992796",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5836230",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Simpson
• Audrie Skorpil
• Smal Corp. (Sandstone Manor Assisted Living)
• Vanessa Smidt, OTR/L
• Barry Allen Smith, M.D.
• Shawna J Smoot, RDN
• Michelle Soberalski, MSW, LCSW, QMHP
• Lauri Leann Sorenson, RN
• Cathy G Sowers, CNP
• Spearfish Collaborative Care LLC (Serenity Corner)

• Physical Therapist in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.