NPPES file of Aug 9, 2026

Niccole J. Mack, D.P.T.

Physical Therapist · Watertown, SD

Niccole J. Mack, D.P.T. is a physical therapist with a practice address in Watertown, South Dakota, and NPI 1063401503, issued on Oct 18, 2005. Check the license (South Dakota 1225, as entered in NPPES) with the South Dakota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1063401503
Name
Niccole J. Mack
Credential
D.P.T.
Primary taxonomy
Physical Therapist 225100000X
License number
1225 SD
Self-reported in NPPES; status is on the state search
Practice location
901 4TH St NW, Watertown, SD 57201
Phone
(605) 886-8471
Enumerated
Oct 18, 2005
Record last updated
Nov 5, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(605) 886-9317
Medicaid ID
5834040 SD
Medicare enrollment
Enrolled (PECOS I20050907001127); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 901 4TH St NW

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nina BishopPediatrics Physician1477973774
  2. Jennifer Byer, PA-CPhysician Assistant1487973525
  3. Roger Carter, MDSurgery Physician1225017809
  4. Alan Christensen, MDSurgery Physician1023097565
  5. Robert Crank, MDDiagnostic Radiology Physician1669451100
  6. Samantha Darnall-Werlinger, MDFamily Medicine Physician1952898447

Verify Niccole J. Mack in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich South Dakota board licenses this profession
    Search for license 1225
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the South Dakota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 76.7 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score78.6
  2. Costout of 100 · 30%44.6
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Sanford Medical CenterSioux Falls, SD

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Niccole J. Mack among 992 physical therapist records in South Dakota

Niccole J. Mack, D.P.T. is one of 992 physical therapist records with a practice address in South Dakota. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 97% newer
  • In a Medicare fileYes · 31% of these records are
  • In the CMS Doctors and Clinicians fileYes · 33% of these records are
  • Graduated2003 · median 2013 among the 329 with a school on file
  • Record last updated2013 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a South Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

41 physical therapist records list a practice address in Watertown

They are 41 of the 543 NPPES records with a practice address in Watertown, and 992 physical therapist records in South Dakota.

The 8 physical therapist records with the nearest ZIP codes

  1. Christina Barrett, PTWatertown, SD 572011770643298
  2. Nathan Breske, DPT, ATCWatertown, SD 572011235135765
  3. Ricky Briggs, RPTWatertown, SD 572011538216288
  4. Kris Cleveland, P.T.Watertown, SD 572011013936582
  5. Chad Hanson, MSPT ATCWatertown, SD 572011467517011
  6. Chad Lauseng, P.T.Watertown, SD 572011336146398
  7. Stephanie Lenards, PTWatertown, SD 572011114124708
  8. Tyanne Luken, PTWatertown, SD 572011477532976

Common questions

What is Niccole J. Mack, D.P.T.'s NPI number?

Niccole J. Mack, D.P.T.'s National Provider Identifier (NPI) is 1063401503, issued on Oct 18, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Niccole J. Mack, D.P.T. located?

The NPPES record lists a practice address at 901 4TH St NW, Watertown, SD, 57201. Phone: (605) 886-8471. Providers update this record themselves, so call before visiting.

How can I verify Niccole J. Mack, D.P.T.'s license?

NPPES lists South Dakota license number 1225, as entered by the provider. Search the South Dakota board that licenses this profession; the NPPES record confirms identity only.

What is Niccole J. Mack, D.P.T.'s MIPS final score?

The 2023 MIPS final score is 76.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.