Individual provider Active NPI

Erik Nieuwenhuis, PT

  • Physical Therapist
  • Sioux City, IA
National Provider Identifier
1124063953
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1780 Issued in NE
Practice address
3111 Gordon Dr
Sioux City, IA 51105-3730
Phone
(712) 277-0507
Fax
(712) 277-0456
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2839 IA
Physical Therapist 225100000X 1125 SD
Physical Therapist 225100000X 1780 NE Primary

Addresses

Primary practice location

3111 Gordon Dr
Sioux City, IA 51105-3730

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

3410 Futures Dr
South Sioux City, NE 68776-3917
Phone (402) 412-4271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060417000251 IA Practitioner - Physical Therapist in Private Practice 4284532276 Reassigns benefits to 2 organizations
I20221228000192 NE Practitioner - Physical Therapist in Private Practice 4284532276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Rehab, LLCGroup PAC ID 3173428562, 14 clinicians

Practice addresses (Care Compare)

2601 Cornhusker Dr
Suite 11
South Sioux City, NE 68776-3911
Phone (402) 370-9651

Merit-based Incentive Payment System (MIPS)

Final score
82.01 of 100Reported as group
Quality
100
Improvement activities
40
Cost
40.03

Merit-based Incentive Payment System (MIPS)

Final score
87.96 of 100Reported as group
Quality
100
Improvement activities
40
Cost
59.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1780NEMDPediatrics Physician
2839IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Rehab LLC Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
Community Rehab of Iowa LLC Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
Impact Physical Therapy and Wellness LLC Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Community Rehab of Iowa LLC Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
St. Luke'S Health Resources Physical Therapist Past Accepting new patients
Lemars Physical Therapy, PLLC Past Accepting new patients
St Lukes Health Resources Past Accepting new patients
St Lukes Health Resources Past Accepting new patients
St Lukes Health Resources Past Accepting new patients

Locations

3111 Gordon Dr
Sioux City, IA 51105
Phone (712) 277-0507

4295 Sergeant Rd
Sioux City, IA 51106
Phone (712) 560-0460

790 Remington Blvd
Bolingbrook, IL 60440

1103 Galvin Rd S
Ste A
Bellevue, NE 68005
Phone (402) 408-0890

1408 Veterans Dr
Ste 102
Elkhorn, NE 68022
Phone (402) 289-3288

410 E 22nd St
Fremont, NE 68025
Phone (402) 721-3908

119 N 51st St
Ste 101
Omaha, NE 68132
Phone (402) 506-5695

6103 N 72nd St
Omaha, NE 68134
Phone (402) 408-0931

2380 8th Ave
Ste 8
Plattsmouth, NE 68048
Phone (402) 296-3433

2601 Cornhusker Dr
Ste 11
South Sioux City, NE 68776
Phone (402) 370-9651

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1124063953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 GORDON DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511053730",
            "telephone_number": "712-277-0507",
            "fax_number": "712-277-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 Futures Dr",
            "address_purpose": "LOCATION",
            "city": "South Sioux City",
            "state": "NE",
            "postal_code": "687763917",
            "country_code": "US",
            "telephone_number": "402-412-4271",
            "fax_number": "402-412-4296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEUWENHUIS",
        "first_name": "ERIK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "2839",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1125",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.