Active NPI
Robert Thomas Augustine, P.T.
- Physical Therapist
- Pleasant Hill, IA
National Provider Identifier
1013919406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02636
- Practice address
- 5900 E University Ave
Suite 303
Pleasant Hill, IA 50327-8457 - Phone
- (515) 643-5690
- Fax
- (515) 643-5691
- NPI assigned
- Aug 15, 2005
- Last updated
- May 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02636 | IA | Primary |
Addresses
Primary practice location
5900 E University Ave
Suite 303
Pleasant Hill, IA 50327-8457
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-5690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4453605 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02636 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lemars Physical Therapy, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1013919406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-5690",
"fax_number": "515-643-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 E UNIVERSITY AVE",
"address_2": "SUITE 303",
"city": "PLEASANT HILL",
"state": "IA",
"postal_code": "503278457",
"telephone_number": "515-643-5690",
"fax_number": "515-643-5691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "ROBERT",
"middle_name": "THOMAS",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "02636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4453605",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, IA
- Access Chiropractic and Wellness LLC (Access Chiropractic and Wellness)
- Tonia K Ackerman, ARNP
- Jennifer Marie Alexander, PHARM.D
- Mark Steven Anderson, D.C.
- Applewhite Dental Iowa PC (Lakeside Dental)
- Reagan Barry, PA-C
- Sally S Bennett, PA-C
- Adrianne Nicole Bentzinger, RPH
- Travis Beyer, DPT
- Blank Childrens Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.