Neuromusculoskeletal Rehabilitation and Pain Clinic, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

863 Issued in SD

Legal business name

NEUROMUSCULOSKELETAL REHABILITATION AND PAIN CLINIC, P.C.

Practice address

646 Jennings Ave.
Ste #2
Hot Springs, SD 57747

Phone

(605) 745-5017

Fax

(605) 745-5017

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

James Bradley Reimer, D.C.

Title

President

Phone

(307) 689-6277

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• NMS Rehab Clinic, P.C. Doing business as

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1801934989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 8TH ST",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164107",
            "telephone_number": "307-689-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 JENNINGS AVE.",
            "address_2": "STE #2",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "57747",
            "telephone_number": "605-745-5017",
            "fax_number": "605-745-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMUSCULOSKELETAL REHABILITATION AND PAIN CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "REIMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-689-6277",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SD",
            "license": "863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "005435",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0005434",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251560-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7604280",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMS Rehab Clinic, P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NMS Rehab Clinic, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Darnell R Okerson, PA-C

• All providers in Hot Springs, SD
• Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.