Sophia Chun Chao, DPT

Individual provider Active NPI Physical Therapist · Vermillion, SD

NPI 1457527574 · NPPES record last updated Feb 4, 2010

Key facts

NPI
1457527574
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1961 (NE)
Practice address
1407 East Cherry St
Great Plains Therapy
Vermillion, SD 57069
Phone
(605) 202-1300
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1961NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Therapy LLC Physical Therapist Past
since Oct 17, 2005
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1961 NE Yes

Addresses

Primary practice location

1407 East Cherry St
Great Plains Therapy
Vermillion, SD 57069

Mailing address

527 Valley View Dr
Vermillion, SD 57069-3538
Phone (402) 878-2440

Other providers in Vermillion, SD

All providers in Vermillion, SD · Physical Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.