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1285585729 NPI number — THE PHYSICAL THERAPY CENTER OF STURGIS, PC

NPI Number: 1285585729
Health Care Provider/Practitioner: THE PHYSICAL THERAPY CENTER OF STURGIS, PC

Information about “1285585729” NPI (THE PHYSICAL THERAPY CENTER OF STURGIS, PC) exists in 1285585729 in HTML format HTML  |  1285585729 in plain Text format TXT  |  1285585729 in PDF (Portable Document Format) PDF  |  1285585729 in an XML format XML  formats.

NPI Number : 1285585729 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285585729",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "RAPID CITY PHYSICAL THERAPY, INC",
    "ParentOrgTIN": null,
    "OrgName": "THE PHYSICAL THERAPY CENTER OF STURGIS, PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2107 LAZELLE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STURGIS",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57785",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-561-1050",
    "MailingAddressFaxNumber": "605-561-0107",
    "FirstLinePracticeLocationAddress": "2107 LAZELLE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STURGIS",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57785",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-561-1050",
    "PracticeLocationAddressFaxNumber": "605-561-0107",
    "EnumerationDate": "02/09/2026",
    "LastUpdateDate": "02/09/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HEATON",
    "AuthorizedOfficialFirstName": "MARIAH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DPT",
    "AuthorizedOfficialTelephoneNumber": "605-721-5950",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "224Z00000X",
          "TaxonomyName": "Occupational Therapy Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225200000X",
          "TaxonomyName": "Physical Therapy Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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