Richard A Ekstrom, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0923 Issued in SD

Practice address

1407 E Cherry St
Vermillion, SD 57069-2602

Phone

(605) 624-7246

Fax

(605) 624-7177

NPI assigned

Nov 20, 2006

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Great Plains Therapy LLC

  dba FYZICAL Therapy and Balance Centers

  • Physical Therapy Clinic/Center
  • Vermillion, SD
  • NPI 1174712707

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1578637666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 E CHERRY ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692602",
            "telephone_number": "605-624-7246",
            "fax_number": "605-624-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 E CHERRY ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692602",
            "telephone_number": "605-624-7246",
            "fax_number": "605-624-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKSTROM",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5835180",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "4994161",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "PT0923",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah A Droge, DPT
• Chris Druin
• Eastern Iowa Therapeutics P.C. (Athletico Physical Therapy)
• Dena Louise Edwards
• Wendy Eggen
• Grace Elsen, DPT
• Embrace Vermillion LLC
• Dawn Elizabeth Kay Erlich, LCSW
• Family First Chiropractic, PC
• Annie Ferentz, RDN

• Physical Therapist in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.