Individual provider Active NPI

Stephanie Anne Raih

  • Physical Therapist
  • Sioux Center, IA
National Provider Identifier
1194467225
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
73976 Issued in IA
Practice address
1378 9TH Ave SE
Sioux Center, IA 51250-1733
Phone
(515) 344-2648
NPI assigned
Apr 9, 2022
Last updated
Apr 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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 73976 IA Primary

Addresses

Primary practice location

1378 9TH Ave SE
Sioux Center, IA 51250-1733

Mailing address

1378 9TH Ave SE
Sioux Center, IA 51250-1733
Phone (515) 344-2648

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603000487 IA Practitioner - Physical Therapist in Private Practice 9335527332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Physical Therapy and Sports Rehab, IncGroup PAC ID 4587762406, 10 clinicians

Practice addresses (Care Compare)

110 16TH St SW
Sioux Center, IA 51250-2944
Phone (712) 722-1902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73976IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy & Sports Rehab, Inc Physical Therapist CurrentSince Sep 5, 2024 Accepting new patients
Proactive Physical Therapy and Sports Rehab Physical Therapist PastSince Sep 5, 2024 Accepting new patients

Locations

301 10th St
Ste C
Sheldon, IA 51201
Phone (712) 324-0110

110 16th St SW
Sioux Center, IA 51250
Phone (712) 722-1902

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1194467225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 9TH AVE SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501733",
            "telephone_number": "515-344-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 9TH AVE SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501733",
            "telephone_number": "515-344-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIH",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "73976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.