Individual provider Active NPI

Amber M Patzlaff, PT, DPT

  • Geriatric Physical Therapist
  • Britton, SD
National Provider Identifier
1508176025
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
1510 Issued in SD
Practice address
1131 Vander Horck W Hwy 10
Britton, SD 57430
Phone
(605) 448-2251
NPI assigned
Oct 18, 2010
Last updated
Oct 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1639 ND
Geriatric Physical Therapist 2251G0304X 1510 SD Primary

Addresses

Primary practice location

1131 Vander Horck W Hwy 10
Britton, SD 57430

Mailing address

11026 422ND Ave
Britton, SD 57430-5608
Phone (605) 448-2251

Other names 1

  • Amber M Swanson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211001000075 ND Practitioner - Physical Therapist in Private Practice 1456755479 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

Practice addresses (Care Compare)

9 N 5TH St
Suite a
Oakes, ND 58474-1203
Phone (701) 433-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1639NDMDDentist
1510SDMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sozo Physical Therapy PC Physical Therapist CurrentSince Jul 14, 2021 Accepting new patients
Back to Health PC PastSince Aug 2, 2021 Accepting new patients

Locations

9 N 5th St
Ste A
Oakes, ND 58474
Phone (701) 433-1717

Organizations & group practices 2

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1508176025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11026 422ND AVE",
            "city": "BRITTON",
            "state": "SD",
            "postal_code": "574305608",
            "telephone_number": "605-448-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 VANDER HORCK W HWY 10",
            "city": "BRITTON",
            "state": "SD",
            "postal_code": "57430",
            "telephone_number": "605-448-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATZLAFF",
        "first_name": "AMBER",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1639",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "SD",
            "license": "1510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "SWANSON",
            "middle_name": "M",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Britton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.