NPIMap

Organization Active NPI

Children's Therapy Services

  • Early Intervention Provider Agency
  • Rapid City, SD
National Provider Identifier
1962816298
Registry record updated Jun 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
0628 Issued in SD
Legal business name
CHILDREN'S THERAPY SERVICES
Practice address
1774 Centre St
Suite #1
Rapid City, SD 57703-4029
Phone
(605) 716-2634
NPI assigned
Jun 14, 2014
Last updated
Jun 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2014

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

Authorized official

Name
Mrs. Justin Rae Casey, LPTA
Title
Owner
Phone
(605) 877-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 0628 SD Primary

Addresses

Primary practice location

1774 Centre St
Suite #1
Rapid City, SD 57703-4029

Mailing address

1774 Centre St
Suite #1
Rapid City, SD 57703-4029
Phone (605) 716-2634

Other identifiers 1

IdentifierTypeStateIssuer
5834854MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Children's Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1774 Centre St
Ste 1
Rapid City, SD 57703
Phone (605) 716-2634

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402704000000",
    "number": "1962816298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 CENTRE ST",
            "address_2": "SUITE #1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577034029",
            "telephone_number": "605-716-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 CENTRE ST",
            "address_2": "SUITE #1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577034029",
            "telephone_number": "605-716-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-14",
        "last_updated": "2014-06-14",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-877-2550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SD",
            "license": "0628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5834854",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; 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.