Active NPI
Kristoffer Scott Meredith, RPT
- Physical Therapist
- Rapid City, SD
National Provider Identifier
1801961396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1277
- Practice address
- 1220 Mt Rushmore Rd
Ste 1
Rapid City, SD 57701 - Phone
- (605) 341-7500
- Fax
- (605) 341-7903
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1277 | SD | Primary |
Addresses
Primary practice location
1220 Mt Rushmore Rd
Ste 1
Rapid City, SD 57701
Mailing address
1220 Mt Rushmore Rd
Ste 1
Rapid City, SD 57701
Phone (605) 341-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54534 | Other | SD | SIOUX VALLEY HEALTH |
| PT1277 | Other | SD | DAKOTA CARE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801961396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 MT RUSHMORE RD",
"address_2": "STE 1",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-341-7500",
"fax_number": "605-341-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MT RUSHMORE RD",
"address_2": "STE 1",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-341-7500",
"fax_number": "605-341-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "KRISTOFFER",
"middle_name": "SCOTT",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH",
"identifier": "54534",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTA CARE",
"identifier": "PT1277",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}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 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.