Individual provider Active NPI

Joy Shafer-Powers

  • Pediatric Physical Therapist
  • Sioux Falls, SD
National Provider Identifier
1477003713
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
302 Issued in SD
Practice address
4501 S Holbrook Ave # Abe
Sioux Falls, SD 57106-1926
Phone
(605) 362-2874
NPI assigned
Oct 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 302 SD Primary

Addresses

Primary practice location

4501 S Holbrook Ave # Abe
Sioux Falls, SD 57106-1926

Mailing address

4501 S Holbrook Ave # Abe
Sioux Falls, SD 57106-1926
Phone (605) 362-2874

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

LicenseStateTypeSpecialty
302SDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1477003713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 S HOLBROOK AVE # ABE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061926",
            "telephone_number": "605-362-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S HOLBROOK AVE # ABE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061926",
            "telephone_number": "605-362-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER-POWERS",
        "first_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SD",
            "license": "302",
            "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 Oct 11, 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.

Verify at the official NPI Registry.