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THERATIME INC NPI 1508052739


NPI Information

NPI: 1508052739
Provider Name: THERATIME INC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
2115 S PENDAR LN
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 339-1800
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THERATIME INC is a pediatrics physical therapist in Sioux Falls, SD. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. THERATIME INC NPI is 1508052739. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2115 S PENDAR LN
SIOUX FALLS, SD
ZIP 57105-944
Phone: (605) 339-1800
Fax: (605) 339-1239

The provider's authorized official is Cory Michael Faber .
The authorized official title is Ceo/president and has the following contact phone number (605) 339-1800.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 9/20/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XP0200XOccupational TherapistPediatrics0522SOUTH DAKOTANo
2235Z00000XSpeech-Language Pathologist01100452SOUTH DAKOTANo
32251P0200XPhysical TherapistPediatrics0295SOUTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15834750MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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