Active NPI
Eric Gubbels, D.P.T
- Physical Therapist
- Des Moines, IA
National Provider Identifier
1164847711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005189
- Practice address
- 4725 Merle Hay Rd
Suite 107
Des Moines, IA 50322-1983 - Phone
- (515) 331-3190
- Fax
- (515) 331-3191
- NPI assigned
- Feb 19, 2014
- 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 | 005189 | IA | Primary |
Addresses
Primary practice location
4725 Merle Hay Rd
Suite 107
Des Moines, IA 50322-1983
Mailing address
4725 Merle Hay Rd
Suite 107
Des Moines, IA 50322-1983
Phone (515) 331-3190
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
- May accept Medicare assignment
Practice addresses (Care Compare)
2303 SW Abilene Rd
Ankeny, IA 50023-7175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortlyn Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1164847711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 MERLE HAY RD",
"address_2": "SUITE 107",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503221983",
"telephone_number": "515-331-3190",
"fax_number": "515-331-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 MERLE HAY RD",
"address_2": "SUITE 107",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503221983",
"telephone_number": "515-331-3190",
"fax_number": "515-331-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUBBELS",
"first_name": "ERIC",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "005189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.