Individual provider Active NPI

Jacob Tesch, PT, DPT

  • Orthopedic Physical Therapist
  • Watertown, SD
National Provider Identifier
1487949178
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1508 Issued in SD
Practice address
913 10TH Ave SE
Watertown, SD 57201-9600
Phone
(605) 878-3334
Fax
(605) 878-0245
NPI assigned
Jun 10, 2011
Last updated
May 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1508 SD
Sports Physical Therapist 2251S0007X 1508 SD
Orthopedic Physical Therapist 2251X0800X 1508 SD Primary

Addresses

Primary practice location

913 10TH Ave SE
Watertown, SD 57201-9600

Mailing address

913 10TH Ave SE
Watertown, SD 57201-9600
Phone (605) 878-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000230 SD Practitioner - Physical Therapist in Private Practice 5294990784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
For Life Therapy IncGroup PAC ID 4385809870, 5 clinicians

Practice addresses (Care Compare)

913 10TH Ave SE
Watertown, SD 57201-9600
Phone (605) 878-3334

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
84.46
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
For Life Therapy Sioux Falls Inc Geriatrics Current Accepting new patients
For Life Therapy Inc CurrentSince Jun 19, 2012 Accepting new patients
For Life Human Performance Inc PastSince Jun 19, 2012 Accepting new patients

Locations

913 10th Ave SE
Watertown, SD 57201
Phone (605) 878-3334

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1487949178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 10TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019600",
            "telephone_number": "605-878-3334",
            "fax_number": "605-878-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 10TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019600",
            "telephone_number": "605-878-3334",
            "fax_number": "605-878-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESCH",
        "first_name": "JACOB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "SD",
            "license": "1508",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "SD",
            "license": "1508",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SD",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.