Active NPI
Adam Thomas Vandermolen
- Physical Therapist
- Urbandale, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005229
- Practice address
- 2901 86TH St
Urbandale, IA 50322-4201 - Phone
- (515) 251-3880
- NPI assigned
- Jun 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005229 | IA | Primary |
Addresses
Primary practice location
2901 86TH St
Urbandale, IA 50322-4201
Mailing address
2901 86TH St
Urbandale, IA 50322-4201
Phone (515) 251-3880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134567657 | Medicaid | IA | |
| 005229 | Other | IA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
5200 100TH St
Urbandale, IA 50322-7208
Phone (515) 251-3880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
2901 86th St
Urbandale, IA 50322
Phone (515) 276-3406
5200 100th St
Urbandale, IA 50322
Phone (515) 265-4211
Organizations & group practices 1
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1134567654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 86TH ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224201",
"telephone_number": "515-251-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 86TH ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224201",
"telephone_number": "515-251-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERMOLEN",
"first_name": "ADAM",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-06",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "005229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134567657",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "005229",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.