Time of Your Life Fitness & Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02189 Issued in IA

Legal business name

TIME OF YOUR LIFE FITNESS & PHYSICAL THERAPY LLC

Practice address

526 Southgate Ave
Iowa City, IA 52240-4426

Phone

(319) 354-3824

Fax

(319) 354-3826

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn Ann Cardamon, PTNPI 1437173341

Title

Owner Physical Therapist

Phone

(319) 354-3824

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Kathryn Cardamon, P.T

  • Physical Therapist
  • Des Moines, IA
  • NPI 1437173341
  NPD (past) Authorized official
• Teresa Joan Clark, RD, LD

  • Registered Dietitian
  • Iowa City, IA
  • NPI 1568576718
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104844083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 SOUTHGATE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404426",
            "telephone_number": "319-354-3824",
            "fax_number": "319-354-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 SOUTHGATE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404426",
            "telephone_number": "319-354-3824",
            "fax_number": "319-354-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME OF YOUR LIFE FITNESS & PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARDAMON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "319-354-3824",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "34894",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew James Thurtell, M.B.B.S.
• Emily James Tiedtke, LPT
• Sarah Tierney, PHARMD, BCPPS
• Cody R. Tigges, D.O.
• Courtney Allison Tigges, PHARMD
• Time of Your Life Therapy
• Andrea A Timmerman, ARNP
• Virginia Lee Timmerman, RN
• Andrina Mary Timmins
• Sherry Rene Timmons, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.