Active NPI
Dana Lou Dykstra, PT
- Geriatric Physical Therapist
- Pierre, SD
National Provider Identifier
1376732750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 0322
- Practice address
- 950 E Park St
Pierre, SD 57501-4154 - Phone
- (605) 224-8628
- Fax
- (605) 224-6948
- NPI assigned
- Oct 22, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 0322 | SD | Primary |
Addresses
Primary practice location
950 E Park St
Pierre, SD 57501-4154
Mailing address
950 E Park St
Pierre, SD 57501-4154
Phone (605) 224-8628
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0322 | SD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1376732750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 E PARK ST",
"city": "PIERRE",
"state": "SD",
"postal_code": "575014154",
"telephone_number": "605-224-8628",
"fax_number": "605-224-6948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E PARK ST",
"city": "PIERRE",
"state": "SD",
"postal_code": "575014154",
"telephone_number": "605-224-8628",
"fax_number": "605-224-6948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKSTRA",
"first_name": "DANA",
"middle_name": "LOU",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "SD",
"license": "0322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pierre, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.