The Rehab Doctors PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5300141945007EUF001 Issued in SD

Legal business name

THE REHAB DOCTORS PC

Practice address

1136 Jackson Blvd
Suite 3
Rapid City, SD 57702-4397

Phone

(605) 721-7246

Fax

(605) 341-4501

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Christopher T Dietrich, MD

Title

President of Corporation

Phone

(605) 721-7246

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

Practitioners 3

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

• Debra Brandt

  • Physician Assistant
  • Rapid City, SD
  • NPI 1144268491
  NPD (past)
• Mark John Simonson, MD

  • Physical Medicine & Rehabilitation Physician
  • Soldotna, AK
  • NPI 1194827998
  NPD (past)
• Stephen J Wisniewski, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Rochester, MN
  • NPI 1609840891
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1932183308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024396",
            "telephone_number": "605-721-7246",
            "fax_number": "605-341-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 JACKSON BLVD",
            "address_2": "SUITE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024397",
            "telephone_number": "605-721-7246",
            "fax_number": "605-341-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REHAB DOCTORS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "605-721-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SD",
            "license": "5300141945007EUF001",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SD",
            "license": "5300141945007EUT001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "0006332",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9211582",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8314",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "139018000",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING MEDICAID",
            "identifier": "115322600",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Evangelical Lutheran Good Samaritan Society
• The Healing Collective, LLC
• The Hills Chiropractic
• The Imaging Center, LLC
• The Olson Home
• The Sleep Health Center
• The Victorian Assisted Living Home
• The Wellness Connection
• The Young Men'S Christian Association of Rapid City
• Shelyssa Sandralyn Theel

• Physical Medicine & Rehabilitation Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physical Medicine & Rehabilitation Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.