Individual provider Active NPI

Aric N Craven, DPT

  • Physical Therapist
  • Winner, SD
National Provider Identifier
1992780704
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1139 Issued in SD
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

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10025389600MedicaidNE
22475OtherSDSANDFORD HEALTH PLAN
5833320MedicaidSD
0008438OtherSDWELLMARK
9192237OtherSDDAKOTA CARE
5833322MedicaidSD
10171OtherSDAVERA HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000429 SD Practitioner - Physical Therapist in Private Practice 3476500984 Reassigns benefits to 1 organization

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
Winner Physical Therapy IncGroup PAC ID 1759363690, 6 clinicians

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

LicenseStateTypeSpecialty
1139SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Winner Physical Therapy Inc Physical Therapist CurrentSince Jan 2, 2002 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.

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.

Verify at the official NPI Registry.