| Great Plains Therapy Llc | |
|
1407 E Cherry St, Vermillion, SD 57069-2602 | |
| (605) 624-7246 | |
| (605) 624-7177 |
| Full Name | Great Plains Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 1407 E Cherry St, Vermillion, 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 |
|---|---|---|---|
| 1174712707 | NPI | - | NPPES |
| 40237 | Other | SD | WELLMARK BCBS |
| 9202603 | Other | SD | DAKOTACARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Gerad A Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659323871 PECOS PAC ID: 7113915471 Enrollment ID: I20041105000486 |
| Provider Name | Sarah M Roob |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649344813 PECOS PAC ID: 7214962760 Enrollment ID: I20051004000120 |
| Provider Name | Lauran Schroeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184221475 PECOS PAC ID: 6709297419 Enrollment ID: I20220425001013 |
| Provider Name | Mitchell G Oehlerts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073236006 PECOS PAC ID: 4789060153 Enrollment ID: I20221008000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Plains Therapy Llc Po Box 632658, Cincinnati, OH 45263-2658 Ph: (702) 818-5000 | Great Plains Therapy Llc 1407 E Cherry St, Vermillion, SD 57069-2602 Ph: (605) 624-7246 |