Organization Active NPI

Boone Rehabilitation Services P C

  • Physical Therapist
  • Ogden, IA
National Provider Identifier
1114585585
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BOONE REHABILITATION SERVICES P C
Practice address
245 W Walnut St
Ogden, IA 50212-7701
Phone
(877) 424-9321
Fax
(515) 275-2534
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Ronald Jacob Stotts
Title
Owner
Phone
(877) 424-9321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

245 W Walnut St
Ogden, IA 50212-7701

Mailing address

125 W Walnut St
Ogden, IA 50212-2046
Phone (877) 424-9321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1114585585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W WALNUT ST",
            "city": "OGDEN",
            "state": "IA",
            "postal_code": "502122046",
            "telephone_number": "877-424-9321",
            "fax_number": "515-275-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W WALNUT ST",
            "city": "OGDEN",
            "state": "IA",
            "postal_code": "502127701",
            "telephone_number": "877-424-9321",
            "fax_number": "515-275-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE REHABILITATION SERVICES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "STOTTS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-424-9321"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.