Active NPI
Calvin Dean Runner, PTA
- Physical Therapy Assistant
- Ankeny, IA
National Provider Identifier
1184684532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 00651
- Practice address
- 301 N Ankeny Blvd Suite 200
Ankeny Physical Sports Therapy
Ankeny, IA 50021 - Phone
- (515) 965-1422
- Fax
- (515) 965-1449
- NPI assigned
- Mar 27, 2006
- Last updated
- Jul 13, 2026
- 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 Therapy Assistant | 225200000X | 00651 | IA | Primary |
Addresses
Primary practice location
301 N Ankeny Blvd Suite 200
Ankeny Physical Sports Therapy
Ankeny, IA 50021
Mailing address
301 N Ankeny Blvd Suite 200
Ankeny Physical Sports Therapy
Ankeny, IA 50021
Phone (515) 965-1422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0166547 | Medicaid | IA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00651 | IA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184684532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N ANKENY BLVD SUITE 200",
"address_2": "ANKENY PHYSICAL SPORTS THERAPY",
"city": "ANKENY",
"state": "IA",
"postal_code": "50021",
"telephone_number": "515-965-1422",
"fax_number": "515-965-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N ANKENY BLVD SUITE 200",
"address_2": "ANKENY PHYSICAL SPORTS THERAPY",
"city": "ANKENY",
"state": "IA",
"postal_code": "50021",
"telephone_number": "515-965-1422",
"fax_number": "515-965-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNNER",
"first_name": "CALVIN",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "00651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0166547",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.