SPORTS REHAB AND PROFESSIONAL THERAPY ASSOCIATES INC NPI 1033289749

NPI Information

NPI: 1033289749
Provider Name: SPORTS REHAB AND PROFESSIONAL THERAPY ASSOCIATES INC

Doing Business As: SPORTS REHAB & PROFESSIONAL THERAPY

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
315 W 5TH ST
STORM LAKE, IA
ZIP 50588
Phone: (712) 732-7724
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SPORTS REHAB AND PROFESSIONAL THERAPY ASSOCIATES INC is a rehabilitation clinic center in Storm Lake, IA. SPORTS REHAB AND PROFESSIONAL THERAPY ASSOCIATES INC NPI is 1033289749. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sports Rehab & Professional Therapy.

The provider's business location address is:

315 W 5TH ST
STORM LAKE, IA
ZIP 50588-743
Phone: (712) 732-7724
Fax: (712) 560-9253

The provider's authorized official is Theresa Lynn Godfrey .
The authorized official title is Clinic Admin Director and has the following contact phone number (402) 334-6025.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 4/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	224Z00000X	Occupational Therapy Assistant		No
2	225100000X	Physical Therapist		No
3	225200000X	Physical Therapy Assistant		No
4	225X00000X	Occupational Therapist		No
5	235Z00000X	Speech-Language Pathologist		No
6	261QR0400X	Clinic/Center	Rehabilitation	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0665141	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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