Chesney Hofer, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2330 Issued in SD

Practice address

633 E Sioux Ave Ste 5
Pierre, SD 57501-3368

Phone

(605) 494-0257

NPI assigned

May 25, 2021

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

Other names 1

• Chesney Nagel Former name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fresh Life LLCGroup PAC ID 3678998390, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fresh Life LLC

  • Physical Therapist
  • Pierre, SD
  • NPI 1679191092
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1760057384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CIRCLE LINE DR",
            "city": "ONIDA",
            "state": "SD",
            "postal_code": "575642114",
            "telephone_number": "605-464-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E SIOUX AVE STE 5",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013368",
            "telephone_number": "605-494-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFER",
        "first_name": "CHESNEY",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHESNEY",
            "last_name": "NAGEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Rae Heuer, PMHNP-BC
• Therese Heyer, LCSW
• Jamie Alyssa Hillmer, CNP
• Maryellen Kay Hilton, LCSW, QMHP
• Sharon B. Hoelscher, CCC-SLP
• Hoggan Orthodontics PC
• Tami Lynn Hogie-Lorenzen, CNP
• Deborah Ann Holland, PT
• Wren Hollingsworth, CNP
• Homecare Services of South Dakota, Inc.

• Physical Therapist in Pierre, SD
• Providers in Pierre, 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 Sep 17, 2021; 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.