THERATIME INC - NPI 1508052739 - Physical Therapist in Sioux Falls, SD

Q: What is Theratime Inc's NPI number?

The NPI number for Theratime Inc is 1508052739. It was assigned to this organization in the NPPES registry on September 20, 2007.

Q: What is Theratime Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Theratime Inc was last updated on September 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Theratime Inc NPPES

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

THERATIME INC (NPI 1508052739) is a healthcare organization registered as a pediatrics in Sioux Falls, South Dakota and active in the NPI registry since September 2007. The organization lists Cory Michael Faber, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1508052739

Entity TypeOrganization

Primary Taxonomy2251P0200X

Legal Business NameTHERATIME INC

Location Address2115 S PENDAR LNSioux Falls, SD 57105-3944

Mailing Address2115 S Pendar LnSioux Falls, SD 57105-3944 · (605) 339-1800 · Fax (605) 339-1239

Phone(605) 339-1800

Fax(605) 339-1239

Organization SubpartNo

Authorized OfficialCory Michael FaberCeo/president · (605) 339-1800

Enumeration DateSeptember 20, 2007

✔ NPI 1508052739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in SD · 0295

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X · License 0522 (SD)

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 01100452 (SD)

2115 S PENDAR LN, Sioux Falls, SD 57105

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Other Identifiers 1

Medicaid5834750SD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CORY FABER

Speech-Language Pathologist