Thea L Pallansch, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0150 Issued in SD

Practice address

1290 North Main St Ste 2
Webster, SD 57274-1114

Phone

(605) 345-3710

Fax

(605) 345-3905

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TLC Physical Therapy IncGroup PAC ID 0143216804, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TLC Physical Therapy Inc

  • Specialist
  • Webster, SD
  • NPI 1417139890
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1932198462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "address_2": "1290 N MAIN ST SUITE 3",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "57274",
            "telephone_number": "605-345-3710",
            "fax_number": "605-345-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 NORTH MAIN ST STE 2",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "572741114",
            "telephone_number": "605-345-3710",
            "fax_number": "605-345-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLANSCH",
        "first_name": "THEA",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5831750",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kwasniewski Enterprises Inc
• Robert Francis Kwasniewski, PHARMD, R.PH.
• Nathaniel M Miller DDS PC
• Jennifer Grace Nelson, DPT
• Lawrence Nelson, MD
• Lola M Pollard, PA-C
• Parker Roerig
• Sanford Health Network
• Sanford Health Network
• Sanford Health Network

• Physical Therapist in Webster, SD
• Providers in Webster, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.