Individual provider Active NPI

Bradley Beardt, DPT

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1831717438
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2236 Issued in SD
Practice address
3808 Sheridan Lake Rd
Ste 100
Rapid City, SD 57702-5395
Phone
(605) 721-3307
Fax
(605) 721-3308
NPI assigned
Jul 9, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2236 SD Primary

Addresses

Primary practice location

3808 Sheridan Lake Rd
Ste 100
Rapid City, SD 57702-5395

Mailing address

3808 Sheridan Lake Rd
Ste 100
Rapid City, SD 57702-5395
Phone (605) 721-3307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827003824 SD Practitioner - Physical Therapist in Private Practice 3274950811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
About You Physical Therapy IncGroup PAC ID 8628251766, 7 clinicians

Practice addresses (Care Compare)

3808 Sheridan Lake Rd
Rapid City, SD 57702-5394
Phone (605) 721-3307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2236SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
About You Physical Therapy, Inc CurrentSince Aug 3, 2020 Accepting new patients
Pain & Movement Solutions, LLC Physical Therapist PastSince Aug 18, 2025 Accepting new patients

Locations

2822 Jackson Blvd
Ste 202
Rapid City, SD 57702
Phone (605) 342-9575

3808 Sheridan Lake Rd
Rapid City, SD 57702
Phone (605) 219-9525

3808 Sheridan Lake Rd
Ste 100
Rapid City, SD 57702
Phone (605) 721-3307

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1831717438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 SHERIDAN LAKE RD",
            "address_2": "STE 100",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025395",
            "telephone_number": "605-721-3307",
            "fax_number": "605-721-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 SHERIDAN LAKE RD",
            "address_2": "STE 100",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025395",
            "telephone_number": "605-721-3307",
            "fax_number": "605-721-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDT",
        "first_name": "BRADLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2236",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.