Individual provider Active NPI

Timothy Scherschligt, MPT

  • Physical Therapist
  • Brookings, SD
National Provider Identifier
1407811557
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1081 Issued in SD
Practice address
302 W 6TH St
Brookings, SD 57006-1159
Phone
(605) 692-8848
Fax
(605) 692-8849
NPI assigned
Apr 20, 2006
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1081 SD Primary

Addresses

Primary practice location

302 W 6TH St
Brookings, SD 57006-1159

Mailing address

302 W 6TH St
Brookings, SD 57006-1159
Phone (605) 692-8848

Other identifiers 2

IdentifierTypeStateIssuer
5833274MedicaidSD
P00894153OtherRAILROAD MEDICARE UPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050323001228 SD Practitioner - Physical Therapist in Private Practice 8820044720 Reassigns benefits to 1 organization
I20180327001439 TX Practitioner - Physical Therapist in Private Practice 8820044720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1081SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro PT, Inc. Physical Therapist CurrentSince Oct 1, 2007 Accepting new patients
Flandreau Santee Sioux Tribe CurrentSince Feb 10, 2018 Accepting new patients
McKillip Chiropractic PC PastSince Aug 1, 2008 Accepting new patients

Locations

116 22nd Ave S
Brookings, SD 57006
Phone (605) 692-2251

302 W 6th St
Brookings, SD 57006
Phone (605) 203-3198

403 W Broad Ave
Flandreau, SD 57028
Phone (605) 997-2642

1552 Dakota Ave S
Huron, SD 57350
Phone (605) 352-9498

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1407811557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061159",
            "telephone_number": "605-692-8848",
            "fax_number": "605-692-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061159",
            "telephone_number": "605-692-8848",
            "fax_number": "605-692-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERSCHLIGT",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5833274",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE UPIN",
            "identifier": "P00894153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.