NPIMap

Organization Active NPI

Prairie Rehabilitation Services, Inc.

  • Physical Therapist
  • Sioux Falls, SD
National Provider Identifier
1902892409
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRAIRIE REHABILITATION SERVICES, INC.
Practice address
1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Phone
(605) 334-5630
Fax
(605) 332-5327
NPI assigned
Sep 21, 2005
Last updated
Aug 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Lee S Glasoe, OTR/L, CHTNPI 1861488371
Title
Administrator
Phone
(605) 334-5630

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X 022510002 MN
Durable Medical Equipment & Medical Supplies 332B00000X 0225410001 SD

Addresses

Primary practice location

1720 S Cliff Ave
Sioux Falls, SD 57105-2129

Mailing address

1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Phone (605) 334-5630

Other identifiers 18

IdentifierTypeStateIssuer
8736521OtherSDDAKOTACARE
123082OtherMNU CARE
16G67PROtherSDBLUE CROSS BLUE SHEILD MN
8B710PROtherMNBLUE CROSS BLUE SHIELD MN
9226612OtherSDDAKOTACARE
4994838OtherSDBLUE CROSS BLUE SHIELD SD
4998553OtherSDBLUE CROSS BLUE SHEILD SD
3730832-00OtherMNMHCP
9G904PROtherSDBLUE CROSS BLUE SHEILD MN
4998216OtherSDBLUE CROSS BLUE SHIELD SD
9206761OtherMNDAKOTACARE
9G902PROtherMNBLUE CROSS BLUE SHIELD MN
4998209OtherSDBLUE CROSS BLUE SHEILD SD
9213674OtherSDDAKOTACARE
16G65PROtherMNBLUE CROSS BLUE SHEILD MN
596595OtherSDARAZ
8B713PROtherSDBLUE CROSS BLUE SHIELD MN
9204836OtherMNDAKOTACARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030723000028 SD Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7113838913 Practice locations: Worthington, MN; Tea, SD; Hartford, SD; Sioux Falls, SD; Jackson, MN; Harrisburg, SD; Fulda, MN; Brandon, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902892409. Details of each certification follow.

  • CCN 436506 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 436506

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PRAIRIE REHABILITATION
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Apr 1, 1999
Last certification
Sep 28, 2023
Ownership / control type
Proprietary
Facility address
1720 S Cliff Ave
Sioux Falls, SD 57105

National Provider Directory

National Provider Directory
Tax ID family
Prairie Rehabilitation Services Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

400 7th St NE
Fulda, MN 56131
Phone (507) 425-2571

106 N Cedar St
Luverne, MN 56156
Phone (507) 449-2003

1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921

301 W Willow St
Ste 1
Harrisburg, SD 57032
Phone (605) 767-3008

100 W SD Highway 38
Ste H
Hartford, SD 57033
Phone (605) 528-1900

101 E South St
Parker, SD 57053
Phone (605) 334-5630

5150 E 57th St
Sioux Falls, SD 57108
Phone (605) 271-3378

725 E Kevin Dr
Ste 100
Tea, SD 57064
Phone (605) 368-9897

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1902892409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052129",
            "telephone_number": "605-334-5630",
            "fax_number": "605-332-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052129",
            "telephone_number": "605-334-5630",
            "fax_number": "605-332-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "GLASOE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-334-5630",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "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
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "022510002",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SD",
            "license": "0225410001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "8736521",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "123082",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD MN",
            "identifier": "16G67PR",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "8B710PR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9226612",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD SD",
            "identifier": "4994838",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD SD",
            "identifier": "4998553",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP",
            "identifier": "3730832-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD MN",
            "identifier": "9G904PR",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD SD",
            "identifier": "4998216",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9206761",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "9G902PR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD SD",
            "identifier": "4998209",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9213674",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD MN",
            "identifier": "16G65PR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "596595",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "8B713PR",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9204836",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.