NPIMap

Organization Active NPI

Prairie Rehabilitation Services, Inc.

  • Physical Therapist
  • Brandon, SD
National Provider Identifier
1992424683
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRAIRIE REHABILITATION SERVICES, INC.
Practice address
1220 E Holly Blvd
Brandon, SD 57005-1359
Phone
(605) 582-3103
Fax
(605) 582-3885
NPI assigned
Aug 25, 2022
Organization subpart
Yes
Parent organization
PRAIRIE REHABILITATION SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Lee S Glasoe
Title
Administrator
Phone
(605) 334-5630

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1220 E Holly Blvd
Brandon, SD 57005-1359

Mailing address

1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Phone (605) 339-0729

National Provider Directory

National Provider Directory
Tax ID family
Prairie Rehabilitation Services Inc23 organizations share this tax ID, including this one
Part of
Prairie Rehabilitation Services Inc

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1992424683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052129",
            "telephone_number": "605-339-0729",
            "fax_number": "605-335-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051359",
            "telephone_number": "605-582-3103",
            "fax_number": "605-582-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE REHABILITATION SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAIRIE REHABILITATION SERVICES, INC.",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "GLASOE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-334-5630"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.