NPIMap

Organization Active NPI

Rock Valley Physical Therapy Center

  • Physical Therapist
  • Moline, IL
National Provider Identifier
1245373166
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 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
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Randy E Boldt
Title
Cfo
Phone
(309) 743-2070

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X IA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X IL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X IA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X IL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, NE, SD5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
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 TherapistDME Supplier - Independently-Practicing Occupational 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

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2070640Rock Valley Physical Therapy850 43Rd Ave, Ste 100, Moline, IL 61265Certificate of waiverDec 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Rock Valley Physical Therapy Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 37)

1705 N Ankeny Blvd
Ste A
Ankeny, IA 50023
Phone (515) 446-0733

3180 Agency St
Ste 110
Burlington, IA 52601
Phone (319) 754-7899

2635 Lincoln Way
Ste C
Clinton, IA 52732
Phone (563) 243-8321

104 Main St
Columbus Junction, IA 52738
Phone (319) 728-4441

1008 W 35th St
Davenport, IA 52806
Phone (563) 324-2263

4451 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 362-0016

4500 E 53rd St
Ste 200
Davenport, IA 52807

900 14th St
De Witt, IA 52742
Phone (563) 659-1579

915 Short St
Ste 155
Decorah, IA 52101
Phone (563) 382-8431

110 N 1st St
Eldridge, IA 52748
Phone (563) 362-0036

1220 NE Station Xing
Ste 104
Grimes, IA 50111

1220 NE Station Xing
Ste 105
Grimes, IA 50111
Phone (515) 984-0075

1705 S 1st Ave
Ste C
Iowa City, IA 52240
Phone (319) 337-8818

100 N Main St
Ste 102
Mt Pleasant, IA 52641
Phone (319) 385-7446

2109 Cedarwood Dr
Ste 100
Muscatine, IA 52761
Phone (563) 288-6787

2109 Cedarwood Dr
Stop 1
Muscatine, IA 52761
Phone (563) 288-6787

3414 Northport Dr
#2
Muscatine, IA 52761
Phone (563) 263-2639

3414 Northport Dr
Ste 2
Muscatine, IA 52761
Phone (563) 263-2639

555 Cameron Way
Ste 1
North Liberty, IA 52317
Phone (319) 665-2555

419 W Bridge Rd
Ste A
Polk City, IA 50226
Phone (515) 984-6377

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

1405 N Elm St
Ste 101
West Liberty, IA 52776
Phone (319) 627-6809

111 Highway 150 N
West Union, IA 52175
Phone (563) 334-3400

520 Valley View Dr
Ste 200
Moline, IL 61265
Phone (309) 797-0866

Practitioners & affiliated clinicians

Practitioners 367

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 367

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1245373166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 300",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-0300",
            "fax_number": "309-743-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK VALLEY PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "BOLDT",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-743-2070"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.