Active NPI
Troy Van Essen, PPT
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1386733210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1354
- Practice address
- 1700 S Minnesota Ave
Sioux Falls, SD 57105-1722 - Phone
- (605) 335-7723
- Fax
- (605) 339-3778
- NPI assigned
- Oct 11, 2006
- 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 | 1354 | SD | Primary |
Addresses
Primary practice location
1700 S Minnesota Ave
Sioux Falls, SD 57105-1722
Mailing address
1700 S Minnesota Ave
Sioux Falls, SD 57105-1722
Phone (605) 335-7723
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5835530 | Medicaid | SD | |
| 1354 | Other | SD | STATE LIC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1354 | SD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1386733210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051722",
"telephone_number": "605-335-7723",
"fax_number": "605-339-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051722",
"telephone_number": "605-335-7723",
"fax_number": "605-339-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ESSEN",
"first_name": "TROY",
"name_prefix": "Mr.",
"credential": "PPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5835530",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "1354",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.