Morina Vongsa, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

116085 Issued in IA

Practice address

1405 NW Church St
Leon, IA 50144-1299

Phone

(641) 446-2219

NPI assigned

May 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Laurel Physical Therapy and Rehabilitation

  • Physical Therapist
  • Clive, IA
  • NPI 1891498671

  IA, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1033809348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 9TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 NW CHURCH ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441299",
            "telephone_number": "641-446-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGSA",
        "first_name": "MORINA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "116085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reece Irl Tedford
• Sara Tedford, PT, DPT
• Thompson & Thompson Long Term Care Inc
• Julie Ury, CADC
• Amber Vanmeel
• Mara Wengryn, D.C.
• Westview Acres Corp
• Westview Properties LLC
• Alva Eugene Yoder, NP
• John Young, LMHC

• All providers in Leon, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.