SUNDOG REHABILITATION LLC
NPI 1285925453
Clinic/Center - Physical Therapy in Rapid City, SD

Active since April 22, 2011
3064 COVINGTON ST, SUITE 104, RAPID CITY, SD 57703(605) 787-2719(605) 718-4452 Get Directions Write a Review

NPPES record last updated: November 25, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sundog Rehabilitation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNDOG REHABILITATION LLC (NPI 1285925453) is a healthcare organization registered as a physical therapy in Rapid City, South Dakota and active in the NPI registry since April 2011. The organization lists Sarah Pettyjohn, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1285925453
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSUNDOG REHABILITATION LLC
Location Address3064 COVINGTON ST, SUITE 104Rapid City, SD 57703-7207
Mailing Address3064 Covington St, Suite 104Rapid City, SD 57703-7207 · (605) 787-2719 · Fax (605) 718-4452
Fax(605) 718-4452
Organization SubpartNo
Authorized OfficialSarah PettyjohnSole Member · (605) 787-2719
Enumeration DateApril 22, 2011
Last NPPES UpdateNovember 25, 2015
✔ NPI 1285925453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in SD · 1487
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3064 COVINGTON ST, Rapid City, SD 57703

Other Identifiers 1

OtherS105011Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sundog Rehabilitation Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth DakotaEnrollment IDO20110623000152Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sundog Rehabilitation LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1366656118
3064 COVINGTON ST SUITE 104
Rapid City, SD 57703
(605) 787-2719
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1063582492
353 FAIRMONT BLVD
Rapid City, SD 57701
(605) 719-1409
✔ Accepts Medicare4.1 mi
Physical Therapist in Private Practice
NPI 1114325230
412 OSHKOSH ST
Rapid City, SD 57701
(605) 787-2719
✔ Accepts Medicare5.3 mi
Physical Therapist in Private Practice
NPI 1518935659
3656 SERENDIPITY LN
Rapid City, SD 57702
(605) 791-1609
7.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sundog Rehabilitation LLC's NPI number?

The NPI number for Sundog Rehabilitation LLC is 1285925453. It was assigned to this organization in the NPPES registry on April 22, 2011.

Where is Sundog Rehabilitation LLC located?

Sundog Rehabilitation LLC is located at 3064 Covington St Suite 104, Rapid City, SD 57703. The listed phone number is (605) 787-2719.

What is Sundog Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Sundog Rehabilitation LLC enrolled in Medicare?

Yes. Sundog Rehabilitation LLC is registered in the Medicare PECOS enrollment system.

When is Sundog Rehabilitation LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Dakota, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sundog Rehabilitation LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Sundog Rehabilitation LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (3) and Qualified Speech Language Pathologist (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sundog Rehabilitation LLC accept?

Health plans from Avera Health Plans, Oscar Insurance Company and Sanford Health Plan list Sundog Rehabilitation LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sundog Rehabilitation LLC was last updated on November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.