Active NPI
Rehabilitation Medical Supply
- Durable Medical Equipment & Medical Supplies
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- REHABILITATION MEDICAL SUPPLY
- Practice address
- 1020 W. 18TH Street
Sioux Falls, SD 57104 - Phone
- (605) 444-9702
- Fax
- (605) 444-9701
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Jensen
- Title
- Director of Operations
- Phone
- (605) 444-9711
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X | SD |
Addresses
Primary practice location
1020 W. 18TH Street
Sioux Falls, SD 57104
Mailing address
1020 W. 18TH Street
Sioux Falls, SD 57104
Phone (605) 444-9702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9167012 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930003496 | SD | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 3375664691 | Practice locations: Sioux Falls, SD |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rise Custom Solutions | Hospital Beds (Electric)|Hospital Beds (Manual)|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchairs (Complex Rehabilitative Manual)|Wheelchairs (Complex Rehab Manual Rel Accessories… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Rehabilitation Medical Supply
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Rapid City, SD
- NPI 1083711386
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Sioux Falls, SD
- NPI 1477754950
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Sioux Falls, SD
- NPI 1407720832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1508962416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 W. 18TH STREET",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57104",
"telephone_number": "605-444-9702",
"fax_number": "605-444-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W. 18TH STREET",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57104",
"telephone_number": "605-444-9702",
"fax_number": "605-444-9701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATION MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "605-444-9711"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "SD",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9167012",
"state": "SD"
}
],
"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 29, 2020; 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.