Active NPI
Ann Shoup, PT
- Physical Therapist
- Pierre, SD
National Provider Identifier
1396199337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0979
- Practice address
- 801 E Sioux Ave
Pierre, SD 57501-3323 - Phone
- (605) 224-3162
- Fax
- (605) 224-3426
- NPI assigned
- Apr 15, 2016
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0979 | SD | Primary |
Addresses
Primary practice location
801 E Sioux Ave
Pierre, SD 57501-3323
Mailing address
801 E Sioux Ave
Pierre, SD 57501-3323
Phone (605) 224-3162
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 |
|---|---|---|---|
| 0979 | SD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1396199337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E SIOUX AVE",
"city": "PIERRE",
"state": "SD",
"postal_code": "575013323",
"telephone_number": "605-224-3162",
"fax_number": "605-224-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E SIOUX AVE",
"city": "PIERRE",
"state": "SD",
"postal_code": "575013323",
"telephone_number": "605-224-3162",
"fax_number": "605-224-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOUP",
"first_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pierre, SD
- Carly Jo Schroer Swartz
- John Vincent Schueller, ATS
- Jackson Cole Schumacher, LCSW, MSW
- Sandra Marie Shay
- Barbara Shoup Anderson, MA, LAC, NCC
- Dominic Shuttleworth, DO
- Slate Creek Counseling PC
- Bridgett Smith, CNP
- South Dakota Urban Indian Health, Inc. Sduih
- South Dakota Urban Indian Health, Inc. Sduih
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.