Active NPI
Samuel I Huey, DPT
- Physical Therapist
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004668
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0565937 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004668 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stadia Sports Medicine PC | Physical Therapist | Current | Accepting new patients |
| Rock Valley Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
| Rock Valley Physical Therapy Center | Physical Therapist | Current | 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.
-
- Physical Therapist
- Moline, IL
- NPI 1245373166
IA, Physical Therapist
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- West Des Moines, IA
- NPI 1962453274
IA, Physical Therapist
-
- Occupational Therapist
- Eldridge, IA
- NPI 1881540490
Physical Therapist
-
- Physical Therapist
- Clinton, IA
- NPI 1366724874
-
- Physical Therapist
- West Des Moines, IA
- NPI 1790828457
-
- Occupational Therapist
- Geneseo, IL
- NPI 1972261535
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.