Individual provider Active NPI

Beth Nicole Graf, MPT

  • Physical Therapist
  • Belle Fourche, SD
National Provider Identifier
1356319073
Registry record updated Aug 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9954-024 Issued in WI
Practice address
2398 5TH Ave Ste 101
Belle Fourche, SD 57717-2340
Phone
(715) 566-0224
NPI assigned
Mar 9, 2006
Last updated
Aug 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2010

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 9954-024 WI Primary

Addresses

Primary practice location

2398 5TH Ave Ste 101
Belle Fourche, SD 57717-2340

Mailing address

8140 S Blucksberg Dr
Sturgis, SD 57785-2803
Phone (715) 566-0224

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
9954-024WIMDPhysical Therapist
9954WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280620800000",
    "number": "1356319073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 S BLUCKSBERG DR",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852803",
            "telephone_number": "715-566-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 5TH AVE STE 101",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577172340",
            "telephone_number": "715-566-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF",
        "first_name": "BETH",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9954-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Fourche, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2010; 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.