Rock Valley Physical Therapy Center
Organization Active NPI Physical Therapist · Moline, IL
NPI 1245373166 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1245373166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ROCK VALLEY PHYSICAL THERAPY CENTER
- Practice address
- 850 43Rd Ave Ste 300
Moline, IL 61265-8401 - Phone
- (309) 743-0300
- Fax
- (309) 743-0318
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Randy E Boldt
- Title
- Cfo
- Phone
- (309) 743-2070
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 5
Practitioners 368
-
Jonathan Acklie, PT
-
Kristie L Boll, DPT
-
Kimberly A Christensen, OTR/L
-
Chelsey L Ferguson, DPT
-
Danny E. Fleener, P.T.
-
Elise Goodman, DPT
-
Whitney Lee Hanlon, DPT
-
Brittany R Hudson, DPT
-
Chad Humphrey, P.T.
-
Nicholas Interial, PT,DPT,ATC
-
Amy C Johnson, PT
-
Lynnette S Jones, PT
-
Kevin A. Kelley, DPT
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2070640 | Rock Valley Physical Therapy | Certificate of waiver | Dec 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in IL, IA, NE, SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040630000390 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9638087877 |
Receives reassigned benefits from 81 practitioners Practice locations: Geneseo, IL; Washington, IL; Silvis, IL; Savanna, IL; Rock Island, IL; Rochelle, IL; Prophetstown, IL; Morrison, IL… |
| O20080513000596 | IA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9638087877 |
Receives reassigned benefits from 239 practitioners Practice locations: Iowa City, IA; Marion, IA; Mount Pleasant, IA; Muscatine, IA; North Liberty, IA; Norwalk, IA; Pleasant Hill, IA; Polk City, IA… |
| O20100930004892 | IL | DME Supplier - Independently-Practicing Physical Therapist |
9638087877 | Practice locations: Moline, IL |
| O20211025002983 | NE | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9638087877 |
Receives reassigned benefits from 24 practitioners Practice locations: Omaha, NE; Gretna, NE; Bennington, NE; Alliance, NE; Elkhorn, NE |
| O20250424002485 | SD | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9638087877 |
Receives reassigned benefits from 8 practitioners Practice locations: Dakota Dunes, SD |
National Provider Directory
- Tax ID family
- Rock Valley PT Center
Locations (25 of 27)
85 Paine St SE
Ste B
Bondurant, IA 50035
Phone (515) 528-2326
3180 Agency St
Ste 110
Burlington, IA 52601
Phone (319) 754-7899
1427 S Washington Blvd
Camanche, IA 52730
Phone (563) 259-4440
3385 Dexter Ct
Ste 203
Davenport, IA 52807
Phone (563) 332-9312
1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431
1700 N Division St
Ste 200
Davenport, IA 52804
Phone (563) 324-2263
4500 E 53rd St
Ste 200
Davenport, IA 52807
1008 W 35th St
Davenport, IA 52806
Phone (563) 324-2263
900 14th St
De Witt, IA 52742
Phone (563) 659-1579
110 N 1st St
Eldridge, IA 52748
Phone (563) 362-0036
1220 NE Station Xing
Ste 104
Grimes, IA 50111
100 N Main St
Ste 102
Mt Pleasant, IA 52641
Phone (319) 385-7446
2109 Cedarwood Dr
Stop 1
Muscatine, IA 52761
Phone (563) 288-6787
2251 Sunset Dr
Ste 2
Norwalk, IA 50211
Phone (515) 639-0900
915 Pierce St
Sioux City, IA 51101
Phone (712) 234-8760
790 N Main St
Ste B
Walcott, IA 52773
Phone (563) 279-2790
1185 SE Alices Rd
Waukee, IA 50263
Phone (515) 987-7733
5700 University Ave
Ste 222
West Des Moines, IA 50266
Phone (309) 743-2070
370 N Main St
Canton, IL 61520
Phone (309) 822-5300
850 43rd Ave
Moline, IL 61265
Phone (309) 743-2070
850 43rd Ave
Ste 300
Moline, IL 61265
Phone (309) 743-0300
1524 W Glen Ave
Ste A
Peoria, IL 61614
Phone (309) 258-8608
234 May Mart Dr
Rochelle, IL 61068
Phone (815) 562-7077
9317 Il Route 84
#A
Savanna, IL 61074
Phone (815) 273-7049
9317 Il Route 84
Savanna, IL 61074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | IA | Yes | |
| Physical Therapist |
225100000X | IL | ||
| Occupational Therapist |
225X00000X | IA | ||
| Occupational Therapist |
225X00000X | IL | ||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
850 43Rd Ave Ste 300
Moline, IL 61265-8401
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0565937 | Medicaid | IA |
Other providers in Moline, IL
- Le'a Dominique Robinson
- Jessica Roche
- Rock River Wellness, LLC
- Rock Valley Industrial Therapy
- Rock Valley Physical Therapy Center
- Deisy Rodriguez Olvera
- Troy James Roeder
- Rogers Transportation
- Emma Rose Romanelli
- Ronald D Riggins D.M.D., P.C.
All providers in Moline, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.