Active NPI
Alyssa Shay Pfeifle, P.T
- Pediatric Physical Therapist
- Valley Springs, SD
National Provider Identifier
1649706607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1984
- Practice address
- 26788 485TH Ave
Valley Springs, SD 57068 - Phone
- (605) 929-4930
- NPI assigned
- May 11, 2017
- Last updated
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1984 | SD | Primary |
Addresses
Primary practice location
26788 485TH Ave
Valley Springs, SD 57068
Mailing address
PO Box 393
Brandon, SD 57005-0393
Phone (605) 929-4930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1984 | SD | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1649706607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "BRANDON",
"state": "SD",
"postal_code": "570050393",
"telephone_number": "605-929-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26788 485TH AVE",
"city": "VALLEY SPRINGS",
"state": "SD",
"postal_code": "57068",
"telephone_number": "605-929-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFEIFLE",
"first_name": "ALYSSA",
"middle_name": "SHAY",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "SD",
"license": "1984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Springs, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.