Individual provider Active NPI

Jacob Patrick Tuholsky, DPT

  • Physical Therapist
  • Yankton, SD
National Provider Identifier
1356969158
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1101 Broadway Ave Ste 115B
Yankton, SD 57078-2836
Phone
(605) 260-5003
NPI assigned
Jul 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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 Primary

Addresses

Primary practice location

1101 Broadway Ave Ste 115B
Yankton, SD 57078-2836

Mailing address

9434 W Broek Dr
Sioux Falls, SD 57106-5833
Phone (612) 839-8112

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL WebPT

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

Practice roles

OrganizationSpecialtyStatusNew patients
Empower U LLC Physical Therapist CurrentSince Dec 31, 2023 Accepting new patients
Integrity Rehab, Inc. Physical Therapist CurrentSince Jul 12, 2020 Accepting new patients

Locations

7303 S Cliff Ave
Sioux Falls, SD 57108
Phone (605) 961-7250

1101 Broadway Ave
Ste 115B
Yankton, SD 57078
Phone (605) 260-5003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1356969158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9434 W BROEK DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571065833",
            "telephone_number": "612-839-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BROADWAY AVE STE 115B",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570782836",
            "telephone_number": "605-260-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUHOLSKY",
        "first_name": "JACOB",
        "middle_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "1101 Broadway Ave Ste 115B",
            "city": "Yankton",
            "state": "SD",
            "country_code": "US",
            "postal_code": "570782836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.