Provider Demographics
NPI:1891478004
Name:PT PARTNERS SOUTH DAKOTA, LLC
Entity Type:Organization
Organization Name:PT PARTNERS SOUTH DAKOTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VP
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SILVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-665-9422
Mailing Address - Street 1:219 KASAN AVENUE
Mailing Address - Street 2:BOX 403
Mailing Address - City:VOLGA
Mailing Address - State:SD
Mailing Address - Zip Code:57071-0403
Mailing Address - Country:US
Mailing Address - Phone:605-827-2121
Mailing Address - Fax:605-827-2122
Practice Address - Street 1:219 KASAN AVENUE
Practice Address - Street 2:
Practice Address - City:VOLGA
Practice Address - State:SD
Practice Address - Zip Code:57071
Practice Address - Country:US
Practice Address - Phone:208-921-9638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy