Organization Active NPI

Battle Mountain Physical Therapy LLC

  • Physical Therapist
  • Hot Springs, SD
National Provider Identifier
1982144093
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1492 Issued in SD
Legal business name
BATTLE MOUNTAIN PHYSICAL THERAPY LLC
Practice address
244 S Chicago St
Hot Springs, SD 57747
Phone
(605) 745-4761
Fax
(605) 745-4762
NPI assigned
Mar 8, 2017
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Brad Fischer, PTNPI 1699740605
Title
Owner, Manager
Phone
(701) 426-9647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1492 SD Primary

Addresses

Primary practice location

244 S Chicago St
Hot Springs, SD 57747

Mailing address

244 S Chicago St
Or P.O. Box 732
Hot Springs, SD 57747
Phone (605) 745-4761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171017002451 SD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638445737 Receives reassigned benefits from 2 practitioners
Practice locations: Hot Springs, SD

National Provider Directory

National Provider Directory

Locations

244 S Chicago St
Hot Springs, SD 57747
Phone (406) 748-3600

Practitioners & affiliated clinicians

Practitioners 2

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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1982144093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S CHICAGO ST",
            "address_2": "OR P.O. BOX 732",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "57747",
            "telephone_number": "605-745-4761",
            "fax_number": "605-745-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S CHICAGO ST",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "57747",
            "telephone_number": "605-745-4761",
            "fax_number": "605-745-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLE MOUNTAIN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "701-426-9647",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.