Organization Active NPI

Siouxland Core Physical Therapy and Pilates LLC

  • Physical Therapy Clinic/Center
  • Sioux City, IA
National Provider Identifier
1134588791
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
076040 Issued in IA
Legal business name
SIOUXLAND CORE PHYSICAL THERAPY AND PILATES LLC
Practice address
1000 Jackson St
Sioux City, IA 51105-1431
Phone
(712) 258-0202
NPI assigned
Feb 11, 2016
Last updated
Feb 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Lauren Collier Peterson, PTNPI 1538591649
Title
Owner
Phone
(405) 230-6330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 076040 IA Primary

Addresses

Primary practice location

1000 Jackson St
Sioux City, IA 51105-1431

Mailing address

1000 Jackson St
Sioux City, IA 51105-1431
Phone (712) 258-0202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1134588791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JACKSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051431",
            "telephone_number": "712-258-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JACKSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051431",
            "telephone_number": "712-258-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND CORE PHYSICAL THERAPY AND PILATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "COLLIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-230-6330",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "076040",
            "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 Feb 11, 2016; 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.