Desiree McIntyre

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0288 Issued in SD

Practice address

501 W Havens Ave
Suite 103
Mitchell, SD 57301-4366

Phone

(605) 995-6044

Fax

(605) 995-6044

NPI assigned

Sep 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1669723441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1284",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573017284",
            "telephone_number": "605-995-6044",
            "fax_number": "605-995-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W HAVENS AVE",
            "address_2": "SUITE 103",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014366",
            "telephone_number": "605-995-6044",
            "fax_number": "605-995-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John McDaniel, MS, LPC
• Kelly Jo McDermott
• Travis McDonald
• Kate McEntee, R.N.
• Katherine Elizabeth McGraw, M.D.
• Robert E McWhirter, M.D.
• Meals on Wheels
• Trevor Meaney
• Angela Nivon Medrano, LPCA
• Benny Medrano

• Physical Therapy Assistant in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.