NPIMap

Organization Active NPI

Prairie Rehabilitation Services, Inc

  • Physical Therapist
  • Jackson, MN
National Provider Identifier
1386358141
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRAIRIE REHABILITATION SERVICES, INC
Practice address
816 3Rd St
Jackson, MN 56143-1746
Phone
(507) 847-4333
Fax
(507) 847-4974
NPI assigned
Jan 6, 2023
Last updated
Jan 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PRAIRIE REHABILITATION SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Lee S GlasoeNPI 1861488371
Title
Administrator
Phone
(605) 334-5630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

816 3Rd St
Jackson, MN 56143-1746

Mailing address

1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Phone (605) 339-0729

National Provider Directory

National Provider Directory
Tax ID family
Prairie Rehabilitation Services Inc23 organizations share this tax ID, including this one
Part of
Prairie Rehabilitation Services Inc

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1386358141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052129",
            "telephone_number": "605-339-0729",
            "fax_number": "605-335-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 3RD ST",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431746",
            "telephone_number": "507-847-4333",
            "fax_number": "507-847-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE REHABILITATION SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAIRIE REHABILITATION SERVICES, INC",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "GLASOE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-334-5630"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.