Physiolife 605 PLLC
NPI 1396433629 · Physical Therapy Clinic/Center · Harrisburg, SD
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Physiolife 605 PLLC is a Physical Therapy Clinic/Center organization in Harrisburg, SD (NPI 1396433629).
Provider details
- NPI number
- 1396433629
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Trever Wagner, Owner(605) 767-1601
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2023-08-22
- Certified
- 2023-08-22
Frequently asked questions
- What is Physiolife 605 PLLC's NPI number?
- Physiolife 605 PLLC's National Provider Identifier (NPI) is 1396433629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physiolife 605 PLLC?
- Physiolife 605 PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Physiolife 605 PLLC located?
- Physiolife 605 PLLC's practice location on file with NPPES is 220 S Cliff Ave Ste 102, Harrisburg, SD 57032-2485.
- What is Physiolife 605 PLLC's phone number?
- The practice phone number listed in the NPPES registry for Physiolife 605 PLLC is (605) 770-7331.
- Does Physiolife 605 PLLC accept Medicare?
- Physiolife 605 PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Physiolife 605 PLLC?
- The authorized official listed on Physiolife 605 PLLC's NPPES record is Trever Wagner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physiolife 605 PLLC's NPI active?
- Yes — Physiolife 605 PLLC's NPI (1396433629) is active in the NPPES registry as of the last update on 2023-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.