Matthew James Dvorak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0431 Issued in SD

Practice address

416 Capitol St
Yankton, SD 57078-4407

Phone

(605) 665-7061

Fax

(605) 260-1912

NPI assigned

Apr 19, 2011

Last updated

Apr 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrity Rehab, Inc.

  • Multi-Specialty Clinic/Center
  • Yankton, SD
  • NPI 1851650873

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1821388224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CAPITOL ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784407",
            "telephone_number": "605-665-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CAPITOL ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784407",
            "telephone_number": "605-665-7061",
            "fax_number": "605-260-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "918",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Dracy, LCSW-PIP, QMHP
• David Dracy, PHD
• James Edward Dredla, CRNA
• Andrew Dreesen, BSW
• DRS. Michael & Darcie Briggs, DDS, PC (Yankton Family Dentistry)
• Ear Nose and Throat Associates PC
• Elizabeth Kemper Eggers, MSN, FNP-C
• Amy M Eichfeld, MD
• Will R Eidsness, M.D.
• Cindy Ellefson

• Physical Therapist in Yankton, SD
• Providers in Yankton, 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 Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.