Individual provider Active NPI

Samuel I Huey, DPT

  • Physical Therapist
  • West Des Moines, IA
National Provider Identifier
1194020487
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004668 Issued in IA
Practice address
5700 University Ave
Suite 222
West Des Moines, IA 50266-8224
Phone
(515) 221-1621
Fax
(515) 221-1626
NPI assigned
Jan 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004668 IA Primary

Addresses

Primary practice location

5700 University Ave
Suite 222
West Des Moines, IA 50266-8224

Mailing address

5700 University Ave
Suite 222
West Des Moines, IA 50266-8224
Phone (515) 221-1621

Other identifiers 1

IdentifierTypeStateIssuer
0565937MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000825 IA Practitioner - Physical Therapist in Private Practice 6002096534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Valley Physical Therapy CenterGroup PAC ID 9638087877, 232 clinicians

Practice addresses (Care Compare)

5700 University Ave
Suite 222
West Des Moines, IA 50266-8276
Phone (309) 743-2070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004668IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stadia Sports Medicine PC Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Dec 12, 2011 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Dec 12, 2011 Accepting new patients

Locations

1705 N Ankeny Blvd
Ste A
Ankeny, IA 50023
Phone (515) 446-0733

1427 S Washington Blvd
Camanche, IA 52730
Phone (563) 259-4440

2635 Lincoln Way
Ste C
Clinton, IA 52732
Phone (563) 243-8321

1905 Ingersoll Ave
Ste 104
Des Moines, IA 50309
Phone (515) 369-2306

3414 Northport Dr
Ste 2
Muscatine, IA 52761
Phone (563) 263-2639

419 W Bridge Rd
Ste A
Polk City, IA 50226
Phone (515) 984-6377

5700 University Ave
Ste 222
West Des Moines, IA 50266
Phone (309) 743-2070

6000 University Ave
Ste 250
West Des Moines, IA 50266
Phone (515) 221-1102

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

Organizations & group practices 6

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1194020487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 UNIVERSITY AVE",
            "address_2": "SUITE 222",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668224",
            "telephone_number": "515-221-1621",
            "fax_number": "515-221-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 UNIVERSITY AVE",
            "address_2": "SUITE 222",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668224",
            "telephone_number": "515-221-1621",
            "fax_number": "515-221-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEY",
        "first_name": "SAMUEL",
        "middle_name": "I",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0565937",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.

Verify at the official NPI Registry.