MEDICARE: GREGORY EARL CAGLE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTH7950	AL
2	225100000X	Physical Therapist	PT011438	GA
3	225100000X	Physical Therapist	1398	ND
4	225100000X	Physical Therapist	2154	SD

General Provider Information

NPI Number	:	1104015445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY EARL CAGLE PT

Provider Business Mailing Address
First Line	:	1110 W OMAHA ST STE 3
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-8097
Country	:	US
Telephone Number	:	605-721-5950
Fax Number	:	605-721-5940

Provider Business Practice Location Address
First Line	:	1110 W OMAHA ST STE 3
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-8097
Country	:	US
Telephone Number	:	605-721-5950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	09/19/2021

Similar Medicare Providers

1740398833 — RAPID CITY PHYSICAL THERAPY, INC
Practice Location Address:

1110 W OMAHA ST STE 3
RAPID CITY, SD
57701-8097

Practice Phone: 605-721-5950
Practice Fax: 605-721-5940

1508287301 — MARIAH HEATON DPT
Practice Location Address:

1110 W OMAHA ST STE 3
RAPID CITY, SD
57701-8097

Practice Phone: 605-721-5950
Practice Fax:

1013460377 — DR. LUKE E SKIFF PT, DPT
Practice Location Address:

1110 W OMAHA ST STE 3
RAPID CITY, SD
57701-8097

Practice Phone: 605-721-5950
Practice Fax: 605-721-5940

1821742446 — NONI ANN HENRY
Practice Location Address:

1110 W OMAHA ST # 3
RAPID CITY, SD
57701-8097

Practice Phone: 605-721-5950
Practice Fax:

1952467391 — GILMORE CITY INC
Practice Location Address:

304 S GILMORE ST
GILMORE CITY, IA
50541-8097

Practice Phone: 515-887-3553
Practice Fax: 515-887-2000

1528116746 — HAVENWOOD ACADEMY
Practice Location Address:

8097 W 2000 S
CEDAR CITY, UT
84720

Practice Phone: 435-586-2500
Practice Fax: 435-359-5213

Directions to “ GREGORY EARL CAGLE PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.