Individual provider Active NPI

Mariah Heaton, DPT

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1508287301
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1852 Issued in SD
Practice address
1110 W Omaha St Ste 3
Rapid City, SD 57701-8097
Phone
(605) 721-5950
NPI assigned
Dec 20, 2013
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1852 SD Primary

Addresses

Primary practice location

1110 W Omaha St Ste 3
Rapid City, SD 57701-8097

Mailing address

1110 W Omaha St Ste 3
Rapid City, SD 57701-8097
Phone (605) 721-5950

Other names 1

  • Mariah Heaton Varcoe Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150911001148 SD Practitioner - Physical Therapist in Private Practice 3274765193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid City Physical Therapy IncGroup PAC ID 3870588437, 7 clinicians

Practice addresses (Care Compare)

1110 W Omaha St
Suite 3
Rapid City, SD 57701-8097
Phone (605) 721-5950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Physical Therapy Center of Sturgis, PC Physical Therapist CurrentSince May 16, 2026 Accepting new patients
Rapid City Physical Therapy, Inc CurrentSince Aug 1, 2015 Accepting new patients

Locations

1110 W Omaha St
Ste 3
Rapid City, SD 57701
Phone (605) 721-5950

2707 Lazelle St
Ste 2
Sturgis, SD 57785

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": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1508287301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W OMAHA ST STE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018097",
            "telephone_number": "605-721-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W OMAHA ST STE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018097",
            "telephone_number": "605-721-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "MARIAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "HEATON VARCOE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.