PHYSIOLIFE 605 PLLC
NPI 1396433629
Clinic/Center - Physical Therapy in Harrisburg, SD
About Physiolife 605 Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSIOLIFE 605 PLLC (NPI 1396433629) is a healthcare organization registered as a physical therapy in Harrisburg, South Dakota and active in the NPI registry since April 2023. The organization lists Trever Wagner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Physiolife 605 Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Physiolife 605 PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Physiolife 605 PLLC's NPI number?
The NPI number for Physiolife 605 PLLC is 1396433629. It was assigned to this organization in the NPPES registry on April 25, 2023.
Where is Physiolife 605 PLLC located?
Physiolife 605 PLLC is located at 220 S Cliff Ave Ste 102, Harrisburg, SD 57032. The listed phone number is (605) 770-7331.
What is Physiolife 605 PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Physiolife 605 PLLC enrolled in Medicare?
Yes. Physiolife 605 PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Physiolife 605 PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Physiolife 605 PLLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Physiolife 605 PLLC accept?
Health plans from Avera Health Plans and Sanford Health Plan list Physiolife 605 PLLC 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 Physiolife 605 PLLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.