NPIMap

Organization Active NPI

Goodcare Athome Rehab, LLC

  • Physical Therapist
  • Sioux Falls, SD
National Provider Identifier
1891190377
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GOODCARE ATHOME REHAB, LLC
Practice address
1000 N West Ave Ste 210
Sioux Falls, SD 57104-1314
Phone
(605) 231-2490
Fax
(605) 336-0812
NPI assigned
Oct 27, 2014
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Jill Marie GabbertNPI 1356406714
Title
President
Phone
(605) 988-4528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1000 N West Ave Ste 210
Sioux Falls, SD 57104-1314

Mailing address

1000 N West Ave Ste 210
Sioux Falls, SD 57104-1314
Phone (605) 988-4528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA, NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20141126001730 SD Part B Supplier - Clinic/Group Practice 7517289614 Receives reassigned benefits from 27 practitioners
Practice locations: Sioux Falls, SD
O20200306000653 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517289614 Receives reassigned benefits from 15 practitioners
Practice locations: West Des Moines, IA
O20200611000112 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517289614 Receives reassigned benefits from 11 practitioners
Practice locations: Arlington, NE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

909 Ashworth Rd
Ste 1A
West Des Moines, IA 50265

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1891190377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N WEST AVE STE 210",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041314",
            "telephone_number": "605-988-4528",
            "fax_number": "605-528-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WEST AVE STE 210",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041314",
            "telephone_number": "605-231-2490",
            "fax_number": "605-336-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODCARE ATHOME REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "GABBERT",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-988-4528"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.