MS. STACIE KELLOGG (NPI# 1902354871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902354871 |
| Entity Type | Individual |
| Full Name | MS. STACIE KELLOGG |
| Credential | MPT |
| Practice Address |
21 Saint Joseph St Rapid City SD 57701-2822 |
| Mailing Address |
300 6th St Rapid City SD 57701-5034 |
| Practice Telephone | 6053941813 |
| Practice Fax Number | 6053946766 |
| Mailing Telephone | 6053941813 |
| Mailing Fax Number | 6053946766 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1168 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
21 SAINT JOSEPH ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508358276 | Bethany Grace Bishop | Speech-Language Pathologist | 21 Saint Joseph St, Rapid City, SD 57701-2822 | 2018-05-30 |
| 1154823813 | Mary Catherine Swanson | Speech-Language Pathologist | 21 Saint Joseph St, Rapid City, SD 57701-2822 | 2018-03-08 |
| 1205338001 | Lorna Lee Schnabel | Speech-Language Pathologist | 21 Saint Joseph St, Rapid City, SD 57701-2822 | 2018-03-07 |
| 1659873768 | Susan Frances Kelly | Speech-Language Pathologist | 21 Saint Joseph St, Rapid City, SD 57701-2822 | 2018-03-05 |
| 1710489851 | Julie Jo Hintgen | Audiologist | 21 Saint Joseph St, Rapid City, SD 57701-2822 | 2018-03-05 |
| 1487103602 | Thomas Kellar | Physical Therapist | 21 Saint Joseph St, Rapid City, SD 57701 | 2016-09-29 |
| 1407305972 | Mia Wald | Occupational Therapist | 21 Saint Joseph St, Rapid City, SD 57701-2822 | 2016-09-26 |
| 1376091108 | Laura Gradoville | Occupational Therapist | 21 Saint Joseph St, Rapid City, SD 57701-2822 | 2016-09-21 |
| 1285182014 | Linda Schacher | Occupational Therapist | 21 Saint Joseph St, Rapid City, SD 57701-2822 | 2016-09-21 |
| 1265980098 | Madisen Roberts | Psychologist | 21 Saint Joseph St, Rapid City, SD 57701-2822 | 2016-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568853810 | Jenna Mcneely | Physical Therapist | 2040 W Main St Ste 212, Rapid City, SD 57702-2446 | 2015-02-09 |
| 1821242967 | Mike E Joebgen | Physical Therapist | 5884 Legacy Ln, Rapid City, SD 57703-6763 | 2008-11-14 |
| 1487103602 | Thomas Kellar | Physical Therapist | 21 Saint Joseph St, Rapid City, SD 57701 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962912279 | Milestones Therapy, LLC | Physical Therapist | 109 Tootys Ave, Yankton, SD 57078-4724 | 2017-10-02 |
| 1649706607 | Alyssa Shay Pfeifle | Physical Therapist | 26788 485th Ave, Valley Springs, SD 57068 | 2017-05-11 |
| 1477003713 | Joy Shafer-powers | Physical Therapist | 4501 S Holbrook Ave # Abe, Sioux Falls, SD 57106-1926 | 2016-10-11 |
| 1598111346 | Grant Boltjes | Physical Therapist | 3513 S Harmony Dr, Sioux Falls, SD 57110-6032 | 2016-05-11 |
| 1124271044 | Krista Glanz Minor | Physical Therapist | 808 Summit St, Belle Fourche, SD 57717-2220 | 2008-10-23 |
| 1114179751 | Lorelei Jo Thompson | Physical Therapist | 3239 S Grace Ave, Sioux Falls, SD 57103-7245 | 2008-10-14 |
| 1023269859 | Kristi K Krouse | Physical Therapist | 25341 448th Ave, Montrose, SD 57048-5617 | 2008-10-10 |
| 1679740609 | Ruth E Rotert | Physical Therapist | 25523 442nd Ave, Salem, SD 57058-5519 | 2008-05-08 |
| 1134286206 | Kimberly Jean Brink | Physical Therapist | 407 W Elm St, Beresford, SD 57004-2150 | 2007-01-01 |
| 1659824936 | Jolene Gordon | Physical Therapist | 201 E 38th St, Sioux Falls, SD 57105-5815 | 2016-08-03 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on MS. STACIE KELLOGG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.