Individual provider Active NPI

Cailey Iverson, DPT

  • Physical Therapist
  • Belle Fourche, SD
National Provider Identifier
1831829498
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2438 Issued in SD
Practice address
511 National St
Belle Fourche, SD 57717-1836
Phone
(605) 723-0185
Fax
(605) 723-0186
NPI assigned
Jun 15, 2022
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 2438 SD Primary

Addresses

Primary practice location

511 National St
Belle Fourche, SD 57717-1836

Mailing address

511 National St
Belle Fourche, SD 57717-1836
Phone (605) 723-0185

Other identifiers 1

IdentifierTypeStateIssuer
2438OtherSDPHYSICAL THERAPIST LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220715001577 SD Practitioner - Physical Therapist in Private Practice 9436530805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Movement Solutions LLCGroup PAC ID 3375791437, 13 clinicians

Practice addresses (Care Compare)

1238 Main St
Sturgis, SD 57785-1541
Phone (605) 702-8206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pain & Movement Solutions, LLC Physical Therapist CurrentSince Jun 10, 2022 Accepting new patients

Locations

511 National St
Belle Fourche, SD 57717
Phone (605) 723-0185

511 National St
Ste 101
Belle Fourche, SD 57717
Phone (605) 723-0185

1238 Main St
Sturgis, SD 57785
Phone (605) 702-8206

Organizations & group practices 1

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1831829498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 NATIONAL ST",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577171836",
            "telephone_number": "605-723-0185",
            "fax_number": "605-723-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 NATIONAL ST",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577171836",
            "telephone_number": "605-723-0185",
            "fax_number": "605-723-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "CAILEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE NUMBER",
            "identifier": "2438",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Fourche, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.