Organization Active NPI

Tiny Tots PT, Inc.

  • Physical Therapy Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1922450394
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1151 Issued in SD
Legal business name
TINY TOTS PT, INC.
Practice address
6100 W 41St St Ste 102
Sioux Falls, SD 57106-5557
Phone
(605) 951-0417
Fax
(605) 356-8075
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Lori Larson, PT
Title
Physical Therapist/Ceo
Phone
(320) 979-0232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1151 SD
Physical Therapy Clinic/Center 261QP2000X 1151 SD Primary

Addresses

Primary practice location

6100 W 41St St Ste 102
Sioux Falls, SD 57106-5557

Mailing address

27805 481St Ave
Canton, SD 57013-5543
Phone (605) 951-0417

Other identifiers 1

IdentifierTypeStateIssuer
5841612MedicaidSD

National Provider Directory

National Provider Directory

Locations

5109 S Crossing Pl
Ste 104
Sioux Falls, SD 57108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1922450394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27805 481ST AVE",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570135543",
            "telephone_number": "605-951-0417",
            "fax_number": "605-356-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 W 41ST ST STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571065557",
            "telephone_number": "605-951-0417",
            "fax_number": "605-356-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY TOTS PT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CEO",
        "authorized_official_telephone_number": "320-979-0232",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SD",
            "license": "1151",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SD",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5841612",
            "state": "SD"
        }
    ],
    "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 Apr 18, 2017; 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.