TIM J KUDLOCK PT
NPI 1720125438
Physical Therapist in Spearfish, SD

Active since January 31, 2007
215 E JACKSON BLVD, SUITE B, SPEARFISH, SD 57783(605) 722-6880(605) 722-6889 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tim J Kudlock Pt NPPES

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

TIM J KUDLOCK PT (NPI 1720125438) is an individual physical therapist in Spearfish, South Dakota, licensed in South Dakota (0542) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1720125438
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTIM J KUDLOCKCredential: PT
Location Address215 E JACKSON BLVD, SUITE BSpearfish, SD 57783-2176
Mailing Address215 E Jackson Blvd, Suite BSpearfish, SD 57783-2176 · (605) 722-6880 · Fax (605) 722-6889
Fax(605) 722-6889
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1720125438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in SD · 0542
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
215 E JACKSON BLVD, Spearfish, SD 57783

Other Identifiers 3

Medicare ID-Type UnspecifiedS41876SD · Medicare Part B
Other0041172SD · Blue Cross Blue Shield Sd
Medicaid5831434SD

Other Providers at the Same Location NPPES

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

Clinic/Center (Physical Therapy)
215 E JACKSON BLVD, SUITE B
SPEARFISH, SD 57783

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 Tim Kudlock's NPI number?

The NPI number for Tim Kudlock is 1720125438. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Tim Kudlock located?

Tim Kudlock practices at 215 E Jackson Blvd Suite B, Spearfish, SD 57783. The listed phone number is (605) 722-6880.

What is Tim Kudlock's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Tim Kudlock was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.