Active NPI
Colleen F Louw, PT
- Physical Therapist
- Story City, IA
National Provider Identifier
1205848488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4383
- 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, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36699014 | Other | MO | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4383 | IA | MD | Chiropractor |
| 108636 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exercise Therapy Consultants, Inc. | Physical Therapist | Past | 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.
-
- Physical Therapist
- Story City, IA
- NPI 1558662395
-
- Physical Therapist
- Belton, MO
- NPI 1962414250
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.