Active NPI
Eric James Chipman, PT, DPT
- Physical Therapist
- Harlan, IA
National Provider Identifier
1164572376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03997
- Practice address
- 1213 Garfield Ave
Suite 102
Harlan, IA 51537-2057 - Phone
- (712) 755-4342
- Fax
- (712) 755-4513
- NPI assigned
- Jan 11, 2007
- 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 | 03997 | IA | Primary |
Addresses
Primary practice location
1213 Garfield Ave
Suite 102
Harlan, IA 51537-2057
Mailing address
1213 Garfield Ave
Suite 102
Harlan, IA 51537-2057
Phone (712) 755-4342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2627 | NE | MD | Mental Health Counselor |
| 03997 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flex Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Procare3, Inc. | Past | Accepting new patients | |
| Flex Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1518283050
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- Physical Therapist
- Council Bluffs, IA
- NPI 1568531556
-
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- Omaha, NE
- NPI 1942266945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1164572376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 GARFIELD AVE",
"address_2": "SUITE 102",
"city": "HARLAN",
"state": "IA",
"postal_code": "515372057",
"telephone_number": "712-755-4342",
"fax_number": "712-755-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 GARFIELD AVE",
"address_2": "SUITE 102",
"city": "HARLAN",
"state": "IA",
"postal_code": "515372057",
"telephone_number": "712-755-4342",
"fax_number": "712-755-4513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIPMAN",
"first_name": "ERIC",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlan, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.