Tim Wald

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1343 Issued in SD

Practice address

528 Kansas City St
Rapid City, SD 57701-5036

Phone

(605) 222-7336

NPI assigned

Dec 11, 2006

Last updated

Oct 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Badlands Therapy ServicesGroup PAC ID 4082956412, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Badlands Therapy Services

  • Physical Therapist
  • Rapid City, SD
  • NPI 1386100964
  NPD Authorized official
• Badlands Physical Therapy, LLC

  • Physical Therapist
  • Wall, SD
  • NPI 1508340563
  Authorized official Same address or phone
• Black Hills Pediatric Therapy, LLC

  • Physical Therapist
  • Rapid City, SD
  • NPI 1487990248
  NPD (past) Authorized official
• Black Hills Pelvic Health, LLC

  • Physical Therapy Clinic/Center
  • Rapid City, SD
  • NPI 1366923401
  Authorized official Same address or phone
• Parkside Chiropractic Center PC

  • Chiropractor
  • Rapid City, SD
  • NPI 1679741250
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1376603092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577091007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 KANSAS CITY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015036",
            "telephone_number": "605-222-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALD",
        "first_name": "TIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "1137",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "1351",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jobie Wagner
• Trever Wagner, PT, DPT
• Jeff Wahl
• Wal-Mart Stores Inc (Wal-Mart Vision Center 30-3872)
• Mia Wald
• James S Walder, MD
• Walgreen Co (Walgreens #10656)
• Walgreen Co (Walgreens #09512)
• Walgreen Co (Walgreens #05643)
• Walking in Grace Inc.

• Physical Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.