Active NPI
Nwia Bone Joint and Sports Surgeons
- Physical Therapist
- Spencer, IA
National Provider Identifier
1114305695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005212
- Legal business name
- NWIA BONE JOINT AND SPORTS SURGEONS
- Practice address
- 1200 1St Ave E
Suite C
Spencer, IA 51301 - Phone
- (712) 262-7511
- Fax
- (712) 262-3658
- NPI assigned
- May 15, 2015
- Last updated
- May 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Hanson
- Title
- Hims Director
- Phone
- (712) 262-7511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005212 | IA | Primary |
Addresses
Primary practice location
1200 1St Ave E
Suite C
Spencer, IA 51301
Mailing address
1200 1St Ave E
Suite C
Spencer, IA 51301
Phone (712) 262-7511
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431648000000",
"number": "1114305695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 1ST AVE E",
"address_2": "SUITE C",
"city": "SPENCER",
"state": "IA",
"postal_code": "51301",
"telephone_number": "712-262-7511",
"fax_number": "712-262-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 1ST AVE E",
"address_2": "SUITE C",
"city": "SPENCER",
"state": "IA",
"postal_code": "51301",
"telephone_number": "712-262-7511",
"fax_number": "712-262-3658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NWIA BONE JOINT AND SPORTS SURGEONS",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-15",
"last_updated": "2015-05-15",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "HIMS DIRECTOR",
"authorized_official_telephone_number": "712-262-7511"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IA",
"license": "005212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spencer, IA
- Northwest Iowa Mental Health Center (Seasons Center for Behavioral Health)
- Northwest Iowa Mental Health Center (Seasons Center fo Behavioral Health)
- Northwest Iowa Mental Health Center (Seasons Center for Behavioral Health)
- Northwest Iowa Surgeons PC
- Northwest Iowa Urologists PC
- Nwia Bone, Joint & Sports Surgeons, PC
- Carol Ann Olberding, P.A. - C
- Bradley C Olsen
- Dana Olson
- Amy Marie Ondler, LISW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.