NPIMap

Organization Active NPI

For Life Human Performance Inc

Doing business as For Life Physical Therapy

  • Physical Therapist
  • Watertown, SD
National Provider Identifier
1578923975
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOR LIFE HUMAN PERFORMANCE INC
Doing business as
For Life Physical Therapy
Practice address
913 10TH Ave SE
Watertown, SD 57201-9600
Phone
(605) 878-3334
Fax
(605) 878-0245
NPI assigned
Feb 26, 2016
Last updated
Feb 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Jacob TeschNPI 1487949178
Title
President
Phone
(605) 878-3334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 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

Other names 1

  • For Life Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1578923975",
    "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": {
        "organization_name": "FOR LIFE HUMAN PERFORMANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "TESCH",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-878-3334"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Life Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 2016; 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.