Active NPI
Prestige Rehab SD PLLC
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1356172696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PRESTIGE REHAB SD PLLC
- Practice address
- 4809 W 41St St Ste 202
Sioux Falls, SD 57106-1565 - Phone
- (855) 678-8887
- Fax
- (855) 678-8887
- NPI assigned
- Aug 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Reizis, PT
- Title
- Managing Member
- Phone
- (855) 678-8887
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
4809 W 41St St Ste 202
Sioux Falls, SD 57106-1565
Mailing address
4809 W 41St St Ste 202
Sioux Falls, SD 57106-1565
Phone (855) 678-8887
National Provider Directory
National Provider DirectoryLocations
4809 W 41st St
Ste 202
Sioux Falls, SD 57106
Phone (847) 436-7474
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Sheridan, WY
- NPI 1912773235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1356172696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 W 41ST ST STE 202",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571061565",
"telephone_number": "855-678-8887",
"fax_number": "855-678-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 W 41ST ST STE 202",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571061565",
"telephone_number": "855-678-8887",
"fax_number": "855-678-8887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE REHAB SD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "REIZIS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "855-678-8887",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.