Individual provider Active NPI

Colleen F Louw, PT

  • Physical Therapist
  • Story City, IA
National Provider Identifier
1205848488
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4383 Issued in IA
Practice address
618 Broad St
Suite B
Story City, IA 50248-1255
Phone
(515) 965-5311
Fax
(515) 965-5301
NPI assigned
Aug 13, 2006
Last updated
Nov 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 108636 MO
Physical Therapist 225100000X 4383 IA Primary

Addresses

Primary practice location

618 Broad St
Suite B
Story City, IA 50248-1255

Mailing address

309 N Ankeny Blvd Ste 102
Ankeny, IA 50023-1750
Phone (515) 965-5311

Other identifiers 1

IdentifierTypeStateIssuer
36699014OtherMOBCBS PROVIDER #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4383IAMDChiropractor
108636MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exercise Therapy Consultants, Inc. Physical Therapist PastSince Oct 29, 2018 Accepting new patients

Organizations & group practices 2

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1205848488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N ANKENY BLVD STE 102",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231750",
            "telephone_number": "515-965-5311",
            "fax_number": "515-965-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 BROAD ST",
            "address_2": "SUITE B",
            "city": "STORY CITY",
            "state": "IA",
            "postal_code": "502481255",
            "telephone_number": "515-965-5311",
            "fax_number": "515-965-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUW",
        "first_name": "COLLEEN",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "108636",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "4383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "36699014",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Story City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.