Organization Active NPI

Redhawk Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Traer, IA
National Provider Identifier
1164216347
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REDHAWK PHYSICAL THERAPY LLC
Practice address
606 3Rd St Ste B
Traer, IA 50675-1240
Phone
(319) 478-4242
Fax
(319) 359-4140
NPI assigned
Apr 4, 2025
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Dr. Shellina Marie Herink, PT, DPTNPI 1053069948
Title
Physical Therapist/Owner
Phone
(319) 478-4242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

606 3Rd St Ste B
Traer, IA 50675-1240

Mailing address

606 3Rd St Ste B
Traer, IA 50675-1240
Phone (319) 478-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819003491 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395244008 Receives reassigned benefits from 1 practitioner
Practice locations: Traer, IA

National Provider Directory

National Provider Directory

Locations

606 3rd St
Traer, IA 50675

606 3rd St
Ste B
Traer, IA 50675
Phone (319) 478-4242

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": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1164216347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 3RD ST STE B",
            "city": "TRAER",
            "state": "IA",
            "postal_code": "506751240",
            "telephone_number": "319-478-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 3RD ST STE B",
            "city": "TRAER",
            "state": "IA",
            "postal_code": "506751240",
            "telephone_number": "319-478-4242",
            "fax_number": "319-359-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDHAWK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "HERINK",
        "authorized_official_first_name": "SHELLINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "319-478-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.