NPIMap

Organization Active NPI

Return to Sport Services

  • Physical Therapy Clinic/Center
  • Norwalk, IA
National Provider Identifier
1013402940
Registry record updated Jun 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
091617 Issued in IA
Legal business name
RETURN TO SPORT SERVICES
Practice address
8874 Woodmayr Cir
Norwalk, IA 50211-1842
Phone
(515) 402-1522
NPI assigned
Jun 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jacob Petersen, PTNPI 1811440274
Title
Physical Therapist
Phone
(515) 402-1522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 091617 IA Primary

Addresses

Primary practice location

8874 Woodmayr Cir
Norwalk, IA 50211-1842

Mailing address

PO Box 363
Norwalk, IA 50211-0363
Phone (515) 402-1522

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529712000000",
    "number": "1013402940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502110363",
            "telephone_number": "515-402-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8874 WOODMAYR CIR",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111842",
            "telephone_number": "515-402-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETURN TO SPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-23",
        "last_updated": "2018-06-23",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "515-402-1522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "091617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.