Black Hills Pelvic Health, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLACK HILLS PELVIC HEALTH, LLC

Practice address

505 Kansas City St Ste 3
Rapid City, SD 57701-3673

Phone

(605) 222-7336

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Tim Wald

Title

Owner

Phone

(605) 222-7336

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1366923401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 KANSAS CITY ST STE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013673",
            "telephone_number": "605-222-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 KANSAS CITY ST STE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013673",
            "telephone_number": "605-222-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS PELVIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "WALD",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-222-7336"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Hills Orthotics & Prosthetics
• Black Hills Pediatric Dentistry
• Black Hills Pediatric Dentistry
• Black Hills Pediatric Therapy, LLC
• Black Hills Pediatrics, LLP
• Black Hills Podiatry
• Black Hills Primary Care PC
• Black Hills Regional Eye Institute
• Black Hills Regional Eye Institute Refractive Surgery Center, LLC
• Black Hills Regional Eye Institute, LLP

• Physical Therapy Clinic/Center in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physical Therapy Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.