Individual provider Active NPI

Taylor Spellman

  • Physical Therapist
  • Aberdeen, SD
National Provider Identifier
1639645310
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2103 Issued in SD
Practice address
6 N Roosevelt St
Aberdeen, SD 57401-3348
Phone
(605) 725-9900
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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 2103 SD Primary

Addresses

Primary practice location

6 N Roosevelt St
Aberdeen, SD 57401-3348

Mailing address

6 N Roosevelt St
Aberdeen, SD 57401-3348
Phone (605) 725-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190213000677 SD Practitioner - Physical Therapist in Private Practice 4486992625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Physical Therapy Center LTDGroup PAC ID 8022044205, 5 clinicians

Practice addresses (Care Compare)

6 N Roosevelt St
Aberdeen, SD 57401-3348
Phone (605) 725-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2103SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Physical Therapy Center LTD Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients

Locations

6 N Roosevelt St
Aberdeen, SD 57401
Phone (605) 725-9900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1639645310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N ROOSEVELT ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574013348",
            "telephone_number": "605-725-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N ROOSEVELT ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574013348",
            "telephone_number": "605-725-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.