Midwest Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MIDWEST PHYSICAL THERAPY, PC

Practice address

2431 Coral CT
Suite 2
Coralville, IA 52241-2838

Phone

(319) 545-4104

Fax

(319) 545-4105

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Burke Holte, PT OCS CSCS

Title

Owner PT President

Phone

(319) 545-4104

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Mary Ellen Anton, PT ATC

  • Physical Therapist
  • Spokane, WA
  • NPI 1861471625
  NPD (past)
• Matthew John Myers, MPT

  • Physical Therapist
  • Peoria, IL
  • NPI 1821257601
  NPD (past)
• Jami Lee Todd, MPT CSCS

  • Physical Therapist
  • Coeur D Alene, ID
  • NPI 1851370613
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1104805977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 CORAL CT",
            "address_2": "SUITE 2",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412838",
            "telephone_number": "319-545-4104",
            "fax_number": "319-545-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 CORAL CT",
            "address_2": "SUITE 2",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412838",
            "telephone_number": "319-545-4104",
            "fax_number": "319-545-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "HOLTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BURKE",
        "authorized_official_title_or_position": "OWNER PT PRESIDENT",
        "authorized_official_telephone_number": "319-545-4104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT OCS CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104805977",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen A Mellerup, LISW
• Nicholas Tyler Mergen, DPT, ATC
• Hannah Merideth
• Tatum Meyer, PHARMD
• Mid-States Hearing Aid Center
• James W Milani, D.O.
• Tiffany R Milder
• Madelyn Rose Milks
• Chelsey Jo Miller, PA-C
• Elijah Thomas Miller, PHARMD

• Physical Therapist in Coralville, IA
• Providers in Coralville, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.