NPIMap

Organization Active NPI

Physical Therapy Specialists PC

  • Physical Therapist
  • Dakota Dunes, SD
National Provider Identifier
1861515090
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1027 Issued in SD
Legal business name
PHYSICAL THERAPY SPECIALISTS PC
Practice address
317 Dakota Dunes Blvd
#D
Dakota Dunes, SD 57049-5341
Phone
(605) 242-5016
Fax
(605) 242-5018
NPI assigned
Apr 10, 2007
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Judith A Jaminet
Title
Office Manager
Phone
(712) 234-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1027 SD Primary

Addresses

Primary practice location

317 Dakota Dunes Blvd
#D
Dakota Dunes, SD 57049-5341

Mailing address

PO Box 1533
Sioux City, IA 51102-1533
Phone (605) 242-5016

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1861515090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1533",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511021533",
            "telephone_number": "605-242-5016",
            "fax_number": "605-242-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 DAKOTA DUNES BLVD",
            "address_2": "#D",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495341",
            "telephone_number": "605-242-5016",
            "fax_number": "605-242-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "JAMINET",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-234-8760"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.