Physiotherapy Associates Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSIOTHERAPY ASSOCIATES INC

Practice address

1555 SE Delaware Ave
Suite M
Ankeny, IA 50021-4011

Phone

(515) 963-8723

Fax

(515) 963-8755

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Jayne Fleck-Pool

Title

Chief Compliance Officer

Phone

(469) 467-8705

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1124226972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COIT RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753769",
            "telephone_number": "469-467-8705",
            "fax_number": "267-321-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SE DELAWARE AVE",
            "address_2": "SUITE M",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214011",
            "telephone_number": "515-963-8723",
            "fax_number": "515-963-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "FLECK-POOL",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-467-8705"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665430",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Trent Peterson, MD
• Meghan Deepak Phadke, MT-BC
• William Phan
• Physiotherapy Associates
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates, Inc.
• Physiotherapy Associates, Inc.
• Physiotherapy Assoicates, Inc.
• Shayna Piersma, PA-C

• Physical Therapy Clinic/Center in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Physical Therapy Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.