Active NPI
Ember Smith, PT, DPT
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1457929671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2310
- Practice address
- 2210 W 69TH St Ste 150
Sioux Falls, SD 57108-5614 - Phone
- (605) 610-8220
- NPI assigned
- Jun 14, 2021
- Last updated
- Jun 14, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Physical Therapist | 225100000X | 2310 | SD | Primary |
Addresses
Primary practice location
2210 W 69TH St Ste 150
Sioux Falls, SD 57108-5614
Mailing address
5408 E 63Rd St
Sioux Falls, SD 57108-3085
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 |
|---|---|---|---|
| 2310 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Balanced Physical Therapy LLC | Current | Accepting new patients |
Locations
2210 W 69th St
Ste 150
Sioux Falls, SD 57108
Phone (605) 610-8220
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Sioux Falls, SD
- NPI 1184337768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1457929671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5408 E 63RD ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571083085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 W 69TH ST STE 150",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571085614",
"telephone_number": "605-610-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "EMBER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "2310",
"primary": true
}
],
"identifiers": [],
"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 Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.