Individual provider Active NPI

Rhianna Wickett, DPT

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1316476088
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1978 Issued in SD
Practice address
420 E Saint Patrick St Ste 101
Rapid City, SD 57701
Phone
(605) 484-9019
NPI assigned
Jun 7, 2017
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 1978 SD Primary

Addresses

Primary practice location

420 E Saint Patrick St Ste 101
Rapid City, SD 57701

Mailing address

PO Box 3404
Rapid City, SD 57709-3404
Phone (605) 484-9019

Other practice location 1

226 State Hwy 585
Sundance, WY 82729-0928
Phone (307) 283-3516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200609001465 SD Practitioner - Physical Therapist in Private Practice 5799055026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate PerformanceGroup PAC ID 6901227693, 2 clinicians

Practice addresses (Care Compare)

420 E Saint Patrick St
Suite 101
Rapid City, SD 57701-4200
Phone (605) 484-9019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1707WYMDPublic Health Dentist
1978SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Performance Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
North Platte Physical Therapy Services Inc Physical Therapist PastSince Jun 8, 2017 Accepting new patients

Locations

420 E Saint Patrick St
Ste 101
Rapid City, SD 57701
Phone (605) 484-9019

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1316476088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3404",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577093404",
            "telephone_number": "605-484-9019",
            "fax_number": "855-508-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SAINT PATRICK ST STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-484-9019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 STATE HWY 585",
            "address_purpose": "LOCATION",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290928",
            "country_code": "US",
            "telephone_number": "307-283-3516",
            "fax_number": "307-283-3515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKETT",
        "first_name": "RHIANNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.