Sioux Falls Physical Medicine and Rehabilitation, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

3724 Issued in SD

Legal business name

SIOUX FALLS PHYSICAL MEDICINE AND REHABILITATION, PC

Practice address

101 W 69TH STR.
Ste 103
Sioux Falls, SD 57108-2440

Phone

(605) 988-0910

Fax

(605) 988-0911

NPI assigned

Jun 17, 2009

Last updated

Sep 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry J Blow, MDNPI 1235286600

Title

Owner

Phone

(605) 988-0910

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry J Blow, MD

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1235286600
  Authorized official Same address or phone

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1780811778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 69TH STR.",
            "address_2": "STE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082440",
            "telephone_number": "605-988-0910",
            "fax_number": "605-988-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 69TH STR.",
            "address_2": "STE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082440",
            "telephone_number": "605-988-0910",
            "fax_number": "605-988-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUX FALLS PHYSICAL MEDICINE AND REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "BLOW",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-988-0910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SD",
            "license": "3724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6400692",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sioux Falls Housing and Redevelopment Commission
• Sioux Falls Mens Wellness PLLC
• Sioux Falls Mental Health Services
• Sioux Falls Open MRI, LLC
• Sioux Falls Pain and Rehabilitation, Inc
• Sioux Falls Primary Care LLC
• Sioux Falls Primary Care Services PC
• Sioux Falls Primary Home Care Services LLC
• Sioux Falls Public School
• Sioux Falls School District

• Medical Specialty Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Medical Specialty Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.