Active NPI
Aric N Craven, DPT
- Physical Therapist
- Winner, SD
National Provider Identifier
1992780704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1139
- Practice address
- 825 E 8TH St
Suite 204
Winner, SD 57580-2633 - Phone
- (605) 842-7188
- Fax
- (605) 842-7189
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- 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 | 1139 | SD | Primary |
Addresses
Primary practice location
825 E 8TH St
Suite 204
Winner, SD 57580-2633
Mailing address
PO Box 435
Winner, SD 57580-0435
Phone (605) 842-7188
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025389600 | Medicaid | NE | |
| 22475 | Other | SD | SANDFORD HEALTH PLAN |
| 5833320 | Medicaid | SD | |
| 0008438 | Other | SD | WELLMARK |
| 9192237 | Other | SD | DAKOTA CARE |
| 5833322 | Medicaid | SD | |
| 10171 | Other | SD | AVERA HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Creighton University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
825 E 8TH St
Suite 204
Winner, SD 57580-2633
Phone (605) 842-7188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1139 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winner Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
116 N Main Ave
Presho, SD 57568
Phone (605) 842-7188
825 E 8th St
Ste 204
Winner, SD 57580
Phone (605) 842-7188
745 E 8th St
Winner, SD 57580
Phone (605) 842-2626
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Winner, SD
- NPI 1063497873
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1992780704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 435",
"city": "WINNER",
"state": "SD",
"postal_code": "575800435",
"telephone_number": "605-842-7188",
"fax_number": "605-842-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E 8TH ST",
"address_2": "SUITE 204",
"city": "WINNER",
"state": "SD",
"postal_code": "575802633",
"telephone_number": "605-842-7188",
"fax_number": "605-842-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVEN",
"first_name": "ARIC",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025389600",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANDFORD HEALTH PLAN",
"identifier": "22475",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5833320",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "0008438",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTA CARE",
"identifier": "9192237",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5833322",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVERA HEALTH PLAN",
"identifier": "10171",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winner, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.