Provider Demographics
NPI:1235125725
Name:STEINBERGER, JEFFREY A (PT)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:STEINBERGER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 S CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-2129
Mailing Address - Country:US
Mailing Address - Phone:605-334-5630
Mailing Address - Fax:605-332-5327
Practice Address - Street 1:1720 S CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2129
Practice Address - Country:US
Practice Address - Phone:605-334-5630
Practice Address - Fax:605-332-5327
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0249225100000X
MN2629225100000X
IA01622225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD64-05329OtherMEDICA
MN64-07190OtherMEDICA
SD8B715STOtherBLUE CROSS BLUE SHEILD MN
MN0249.1OtherDAKOTACARE
SD4994830OtherBLUE CROSS BLUE SHIELD SD
SD4998541OtherBLUE CROSS BLUE SHIELD SD
MN8B836STOtherBLUE CROSS BLUE SHIELD MN
SD23043OtherSIOUX VALLEY HEALTH PLANS
SD0249.1OtherDAKOTACARE
SD5830315Medicaid
SD5830318Medicaid
MN25794OtherARAZ
SD4998215OtherBLUE CROSS BLUE SHIELD SD
SD5830316Medicaid
SD64-07188OtherMEDICA
SD25794OtherARAZ
SD5830313Medicaid
SD64-04054OtherMEDICA
SD64-07564OtherMEDICA