Active NPI
Amy Florinda Jungwirth, L.M.T
- Mechanotherapist
- Rapid City, SD
National Provider Identifier
1780903161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 261
- Practice address
- 2326 Canyon Lake Dr
Suite 6
Rapid City, SD 57702-2913 - Phone
- (605) 430-5388
- NPI assigned
- May 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 261 | SD | Primary |
Addresses
Primary practice location
2326 Canyon Lake Dr
Suite 6
Rapid City, SD 57702-2913
Mailing address
2326 Canyon Lake Dr
Suite 6
Rapid City, SD 57702-2913
Phone (605) 430-5388
Other names 1
- Mrs. Amy Florinda Jungwirth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261 | SD | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1780903161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2326 CANYON LAKE DR",
"address_2": "SUITE 6",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577022913",
"telephone_number": "605-430-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2326 CANYON LAKE DR",
"address_2": "SUITE 6",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577022913",
"telephone_number": "605-430-5388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNGWIRTH",
"first_name": "AMY",
"middle_name": "FLORINDA",
"name_prefix": "Mrs.",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "SD",
"license": "261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "JUNGWIRTH",
"middle_name": "FLORINDA",
"prefix": "MRS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.