Colleen M. Oliver, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0468 Issued in SD

Practice address

312 W 3Rd St
Faith, SD 57626-6013

Phone

(605) 850-1532

Fax

(605) 374-5666

NPI assigned

Feb 9, 2006

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Branches of the Vine

  • Physical Therapist
  • Faith, SD
  • NPI 1225708506
  NPD Authorized official

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1851364863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 US HIGHWAY 12",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576386303",
            "telephone_number": "605-850-1532",
            "fax_number": "605-374-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 3RD ST",
            "city": "FAITH",
            "state": "SD",
            "postal_code": "576266013",
            "telephone_number": "605-850-1532",
            "fax_number": "605-374-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "COLLEEN",
        "middle_name": "M.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5830960",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND MEDICAID",
            "identifier": "52628",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650023807",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF SD",
            "identifier": "4999695",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith School District
• Darci J Harper, CNP
• Horizon Health Care Inc (Faith Community Health Center)
• Horizon Health Care, Inc. (Faith Dental Clinic)
• Michael J Lee, DDS
• Prairie Care Home Health LLC
• Dusti Varland
• Vilas Health & Variety
• West Winds Health Services Inc

• Physical Therapist in Faith, SD
• Providers in Faith, 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 Nov 6, 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.