NPIMap

Organization Active NPI

Physical Therapy Services PC

  • Physical Therapist
  • Kalona, IA
National Provider Identifier
1073656674
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00261 Issued in IA
Legal business name
PHYSICAL THERAPY SERVICES PC
Practice address
423 B Ave
Kalona, IA 52247-0535
Phone
(319) 656-3177
Fax
(319) 656-5241
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Pamela A HazellNPI 1770562787
Title
Physical Therapist
Phone
(319) 656-3177

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 00261 IA Primary

Addresses

Primary practice location

423 B Ave
Kalona, IA 52247-0535

Mailing address

PO Box 535
Kalona, IA 52247-0535
Phone (319) 656-3177

Other identifiers 1

IdentifierTypeStateIssuer
0423475MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1073656674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "KALONA",
            "state": "IA",
            "postal_code": "522470535",
            "telephone_number": "319-656-3177",
            "fax_number": "319-656-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 B AVE",
            "city": "KALONA",
            "state": "IA",
            "postal_code": "522470535",
            "telephone_number": "319-656-3177",
            "fax_number": "319-656-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "HAZELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "319-656-3177"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "00261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423475",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.