Michael D Pesek, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1269 Issued in SD

Practice address

1705 8TH St NE
Watertown, SD 57201-6901

Phone

(605) 759-2691

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710973193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 8TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016901",
            "telephone_number": "605-759-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 8TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016901",
            "telephone_number": "605-759-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESEK",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1269",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin C Palmquist, D.D.S.
• Lisa Parks, BS-PSYCHOLOGY
• Allison Parr
• Brandy Kaye Paszek, OTR/L
• Kimberly Ann Pearson
• Kelly Peters, OT
• Stephanie Marie Peyton-Aas, MD
• Aaron Randy Pickrel, DO
• Kristen Marie Pickrel, MD
• Tracy John Pierret, MD

• Physical Therapist in Watertown, SD
• Providers in Watertown, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.