Active NPI
Marybeth Vilhauer, PT
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1972644136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0483
- Practice address
- 2701 S Kiwanis Ave
Sioux Falls, SD 57105-4252 - Phone
- (605) 332-0003
- Fax
- (605) 328-9101
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0483 | SD | Primary |
Addresses
Primary practice location
2701 S Kiwanis Ave
Sioux Falls, SD 57105-4252
Mailing address
2701 S Kiwanis Ave
Sioux Falls, SD 57105-4252
Phone (605) 332-0003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4884 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0483 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1972644136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 S KIWANIS AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054252",
"telephone_number": "605-332-0003",
"fax_number": "605-328-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 S KIWANIS AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054252",
"telephone_number": "605-332-0003",
"fax_number": "605-328-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILHAUER",
"first_name": "MARYBETH",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4884",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.