NPIMap

Organization Active NPI

Universal Therapy Group

  • Physical Therapy Assistant
  • West Burlington, IA
National Provider Identifier
1124394085
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
00966 Issued in IA
Legal business name
UNIVERSAL THERAPY GROUP
Practice address
411 W Agency Rd
Suite 1
West Burlington, IA 52655-1704
Phone
(319) 752-7899
NPI assigned
Mar 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Cinnamon Villebrun
Title
Owner/Occupational Therapist
Phone
(319) 752-7899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 00966 IA Primary

Addresses

Primary practice location

411 W Agency Rd
Suite 1
West Burlington, IA 52655-1704

Mailing address

411 W Agency Rd
Suite 1
West Burlington, IA 52655-1704
Phone (319) 752-7899

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1124394085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W AGENCY RD",
            "address_2": "SUITE 1",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551704",
            "telephone_number": "319-752-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W AGENCY RD",
            "address_2": "SUITE 1",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551704",
            "telephone_number": "319-752-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "VILLEBRUN",
        "authorized_official_first_name": "CINNAMON",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "319-752-7899"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.