Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 225100000X | Physical Therapist | | 1194 | SOUTH DAKOTA | No |
| 2 | 225100000X | Physical Therapist | | 0799 | SOUTH DAKOTA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 5833542 | MEDICAID | SOUTH DAKOTA | |
| 2 | 5831183 | MEDICAID | SOUTH DAKOTA | |
| 3 | 21256 | OTHER | SOUTH DAKOTA | ANN LARSON SIOUX VALLEY |
| 4 | 4997989 | OTHER | SOUTH DAKOTA | BCBS PROVIDER NUMBER |
| 5 | S42135 | MEDICARE ID-TYPE UNSPECIFIED | SOUTH DAKOTA | SANDRA HOVDE MEDICARE NUM |
| 6 | S42133 | MEDICARE ID-TYPE UNSPECIFIED | SOUTH DAKOTA | GROUP MEDICARE NUMBER |
| 7 | 22223 | OTHER | SOUTH DAKOTA | ANN LARSON FIRST CHOICE |
| 8 | 20729 | OTHER | SOUTH DAKOTA | SANDRA HOVDE SIOUX VALLEY |
| 9 | 110411 | OTHER | SOUTH DAKOTA | BERKLEY RISK ADMIN |
| 10 | 14518 | OTHER | SOUTH DAKOTA | SANDRA HOVDE FIRST CHOICE |
| 11 | 7079 | OTHER | SOUTH DAKOTA | ANN LARSON AVERA |
| 12 | S42269 | MEDICARE ID-TYPE UNSPECIFIED | SOUTH DAKOTA | ANN LARSON MEDICARE NUMB |
| 13 | 14479 | OTHER | SOUTH DAKOTA | AMERICAN FAMILY PROVIDER |
