Active NPI
Reed A Hittle, P.T.
- Physical Therapist
- Huron, SD
National Provider Identifier
1376638684
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0152
- Practice address
- 530 Iowa SE Suite 105
Huron, SD 57350 - Phone
- (605) 352-2169
- Fax
- (605) 352-9782
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0152 | SD | Primary |
Addresses
Primary practice location
530 Iowa SE Suite 105
Huron, SD 57350
Mailing address
530 Iowa SE Suite 105
Huron, SD 57350
Phone (605) 352-2169
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9230402 | Other | SD | DAKOTACARE |
| 5833072 | Medicaid | SD | |
| 20677 | Other | SD | SVHP |
| 4994646 | Other | SD | BCBS |
| 4167890001 | Other | SD | DME- CIGNA |
| A002 | Other | SD | TRICARE |
| HA4001 | Other | SD | TLC |
| A137603 | Other | SD | MULTI-PLAN EOS |
| 1923246 | Other | SD | FIRST HEALTH |
| 64-06449 | Other | SD | MEDICA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0152 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Huron, SD
- NPI 1588846836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376638684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 IOWA SE SUITE 105",
"city": "HURON",
"state": "SD",
"postal_code": "57350",
"telephone_number": "605-352-2169",
"fax_number": "605-352-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 IOWA SE SUITE 105",
"city": "HURON",
"state": "SD",
"postal_code": "57350",
"telephone_number": "605-352-2169",
"fax_number": "605-352-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITTLE",
"first_name": "REED",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "9230402",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5833072",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SVHP",
"identifier": "20677",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4994646",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME- CIGNA",
"identifier": "4167890001",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A002",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC",
"identifier": "HA4001",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI-PLAN EOS",
"identifier": "A137603",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1923246",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-06449",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.