Healthcare Provider Details

I. General information

NPI: 1275455370
Provider Name (Legal Business Name): 605 REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 BOWER ST
VERMILLION SD
57069-1251
US

IV. Provider business mailing address

2803 CHEROKEE CT
VERMILLION SD
57069-7214
US

V. Phone/Fax

Practice location:
  • Phone: 605-670-0980
  • Fax:
Mailing address:
  • Phone: 605-212-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADAM LADWIG
Title or Position: OWNER
Credential: DPT, PHD
Phone: 605-212-6733