Christian Whitesell, DPT – Physical Therapist

Key facts

NPI: 1649980673
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 2573 (SC)
Practice address: 520 N Canyon St
Spearfish, SD 57783-2320
Phone: (605) 642-7996
NPI assigned: Nov 30, 2022
Sex: Male
Sole proprietor: No

Organizations & group practices 2

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.

Black Hills Physical Therapy, Inc. Physical Therapist · Spearfish, SD · NPI 1891767737

NPD PHYSICAL THERAPIST
Matson Therapy, LLC Physical Therapist · Spearfish, SD · NPI 1710565684

NPD PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Black Hills Physical Therapy, Inc.	Physical Therapist	Current since Dec 6, 2022	Accepting new patients
Matson Therapy, LLC	Physical Therapist	Current since Dec 6, 2022	Accepting new patients

Locations

520 N Canyon St
Spearfish, SD 57783
Phone (605) 642-7996

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	2573	SC	Yes

Addresses

Primary practice location

520 N Canyon St
Spearfish, SD 57783-2320

Mailing address

4511 Winestone LN
Rapid City, SD 57702-4841

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 30, 2022.

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1649980673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 WINESTONE LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CANYON ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832320",
            "telephone_number": "605-642-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESELL",
        "first_name": "CHRISTIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

All providers in Spearfish, SD · Physical Therapist in South Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.