Neuroreach PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NEUROREACH PT LLC

Practice address

1142 Mary LN
North Liberty, IA 52317-8710

Phone

(712) 461-0135

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery Wagenaar, PT, DPTNPI 1457262370

Title

Owner/Physical Therapist

Phone

(712) 461-0135

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery Wagenaar, PT

  • Physical Therapist
  • North Liberty, IA
  • NPI 1457262370
  Authorized official Same address or phone

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1053224105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 MARY LN",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178710",
            "telephone_number": "712-461-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 MARY LN",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178710",
            "telephone_number": "712-461-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROREACH PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "WAGENAAR",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "712-461-0135",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark C Mysnyk, M.D.
• Sarah Beth Nace, PA-C
• Dawn Neff
• Amin Nekoomand, D.C.
• Kaitlin Christine Nelson, PA-C
• North Liberty Clinic of Chiropractic, P.L.C.
• North Liberty Dental Services P.C.
• North Liberty Family Health Centre, P.C.
• North Liberty Smiles PLLC
• Byron Ezeugo Nwonye, DC

• Physical Therapist in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.