Resilience Physical Therapy PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

RESILIENCE PHYSICAL THERAPY PLLC

Practice address

8033 University Blvd Ste D
Clive, IA 50325-1170

Phone

(515) 612-8700

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Cody Walkup, DPTNPI 1114467131

Title

Owner

Phone

(515) 401-2086

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

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

• Cody Walkup

  • Physical Therapist
  • Des Moines, IA
  • NPI 1114467131
  Medicare reassignment Care Compare group NPD Authorized official
• Samuel Farrell

  • Physical Therapist
  • Urbandale, IA
  • NPI 1386532869
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1093432221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4497 88TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221436",
            "telephone_number": "515-401-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 UNIVERSITY BLVD STE D",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503251170",
            "telephone_number": "515-612-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "WALKUP",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-401-2086",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Lee Reiner, PA
• Stephanie A Renfro, DPT
• Amanda Jane Rennolet, MA, LMHC
• Rescare, Inc
• Andrea Reser, DPT
• Resilient Roots
• Austin Alan Resop
• Restoration Counseling LLC
• Revival Health Center, LLC
• Jeffrey Allen Richards, D.O.

• Orthopedic Physical Therapist in Clive, IA
• Providers in Clive, IA by specialty
• Orthopedic Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.