| Orthopedic Physical Therapy Center Ltd | |
|
6 North Roosevelt Street, Aberdeen, SD 57401 | |
| (605) 725-9900 | |
| (605) 725-9902 |
| Full Name | Orthopedic Physical Therapy Center Ltd |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6 North Roosevelt Street, Aberdeen, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992715197 | NPI | - | NPPES |
| 4994784 | Other | SD | BCBS |
| 5830333 | Medicaid | SD | |
| 9229263 | Other | SD | DAKOTA CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0435 (South Dakota) | Primary |
| 225100000X | Physical Therapist | 891 (North Dakota) | Secondary |
| Provider Name | Lee V Goetz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760546212 PECOS PAC ID: 4183650377 Enrollment ID: I20050712001326 |
| Provider Name | Erica M Pfaff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518226851 PECOS PAC ID: 9830353135 Enrollment ID: I20120618000700 |
| Provider Name | Taylor Spellman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639645310 PECOS PAC ID: 4486992625 Enrollment ID: I20190213000677 |
| Provider Name | Mikayla Malsam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720652050 PECOS PAC ID: 5395146500 Enrollment ID: I20210625000560 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic Physical Therapy Center Ltd 6 North Roosevelt Street, Aberdeen, SD 57401 Ph: (605) 725-9900 | Orthopedic Physical Therapy Center Ltd 6 North Roosevelt Street, Aberdeen, SD 57401 Ph: (605) 725-9900 |
Jason Gauer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Kerri Foss, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Nicole Sumner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Mrs. Elaine Margaret Horner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 North Roosevelt Street, Aberdeen, SD 57401 Phone: 605-725-9900 Fax: 605-725-9902 | |
Brooke Erin Fontana, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 S State St, Aberdeen, SD 57401 Phone: 605-622-5000 Fax: 605-622-5255 | |
Kelly M Brennan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 701 Th Ave Nw, Suite B, Aberdeen, SD 57401 Phone: 605-225-0430 Fax: 605-225-0876 | |
Meghan Michelle Weigel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 N Highway 281, Aberdeen, SD 57401 Phone: 605-225-7315 |