Organization · Type 2 NPI

Avera St. Luke's

Comprehensive Outpatient Rehabilitation Facility (CORF) · Aberdeen, SD

NPI number 1083051817 Active

Practice location

820 1st Ave SE Ste 200
Aberdeen, SD 57401-4604

Call (605) 622-5123 Map

Fax (605) 622-5906

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370

Other practice locations

820 1st Ave SE Ste 200, Aberdeen, SD 57401-4604 · (605) 622-5123

Specialties and licenses

Taxonomy	Code	License
Pain Medicine (Anesthesiology) Physician	207LP2900X	None listed
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary	261QR0401X	None listed

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

NPI record

NPI: 1083051817
Entity type: Organization (Type 2)
Issued: Jun 3, 2013
Last updated: Apr 21, 2026
Status: Active

Other names

<unavail>
Avera Medical Group Pain Management Aberdeen · doing business as
Avera Pain Management Aberdeen · doing business as
Avera Physical Medicine & Rehabilitation Aberdeen · doing business as

Authorized official

Daniel J Bjerknes
President/ceo
(605) 622-5125

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1083051817

Avera St. Luke's's National Provider Identifier is 1083051817, issued on Jun 3, 2013. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Aberdeen, SD. The record was last updated on Apr 21, 2026.