Active NPI
Restore Physical Therapy
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1427012335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1178
- Legal business name
- RESTORE PHYSICAL THERAPY
- Practice address
- 4925 E 26TH St
Suite B
Sioux Falls, SD 57110-6950 - Phone
- (605) 275-4125
- Fax
- (605) 332-6616
- NPI assigned
- Apr 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chad L Lauseng, PT
- Title
- Owner/Director
- Phone
- (605) 275-4125
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1178 | SD | Primary |
Addresses
Primary practice location
4925 E 26TH St
Suite B
Sioux Falls, SD 57110-6950
Mailing address
4925 E 26TH St
Suite B
Sioux Falls, SD 57110-6950
Phone (605) 275-4125
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4995060 | Other | SD | BCBS NUMBER |
| 5833562 | Medicaid | SD |
National Provider Directory
National Provider DirectoryLocations
4925 E 26th St
Ste B
Sioux Falls, SD 57110
Phone (605) 275-4125
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Watertown, SD
- NPI 1336146398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427012335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4925 E 26TH ST",
"address_2": "SUITE B",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571106950",
"telephone_number": "605-275-4125",
"fax_number": "605-332-6616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 E 26TH ST",
"address_2": "SUITE B",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571106950",
"telephone_number": "605-275-4125",
"fax_number": "605-332-6616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAUSENG",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "605-275-4125",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "SD",
"license": "1178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "4995060",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5833562",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.