MEDICARE: ABOUT YOU PHYSICAL THERAPY, INC

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	261QP2300X	Primary Care Clinic/Center	1152	SD
2	261QP2000X	Physical Therapy Clinic/Center	1152	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1457321010	OTHER	SD	INDIVIDUAL NPI NUMBER

General Provider Information

NPI Number	:	1831492958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOUT YOU PHYSICAL THERAPY, INC

Provider Business Mailing Address
First Line	:	3808 SHERIDAN LAKE RD STE 100
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-5395
Country	:	US
Telephone Number	:	605-721-3307
Fax Number	:	605-721-3308

Provider Business Practice Location Address
First Line	:	3808 SHERIDAN LAKE RD STE 100
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-5395
Country	:	US
Telephone Number	:	605-721-3307
Fax Number	:	605-721-3308

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	MISS LAURA A. BONSNESS
Credential	:	PT
Telephone Number	:	605-348-5522

Provider Enumeration Date	:	12/11/2010
Last Update Date	:	12/04/2023

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