Active NPI
Tidd-Krafft Occupational and Physical Therapy PA
- Rehabilitation Clinic/Center
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- TIDD-KRAFFT OCCUPATIONAL AND PHYSICAL THERAPY PA
- Practice address
- 1275 SW State St
Ankeny, IA 50023-2545 - Phone
- (515) 895-4560
- NPI assigned
- Apr 25, 2022
- Last updated
- Apr 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ian Oppel
- Title
- Coo
- Phone
- (908) 254-7007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
1275 SW State St
Ankeny, IA 50023-2545
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (800) 728-8808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220509000316 | IA | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1254689169 | Practice locations: Ankeny, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245974427. Details of each certification follow.
Outpatient physical therapy / speech pathology certification: CCN 166618
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- GENESIS PHYSICAL & OCCUPATIONAL REHAB SERVICE
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Sep 16, 2022
- Last certification
- Sep 16, 2022
- Ownership / control type
- Proprietary
- Facility address
- 1275 SW State Street
Ankeny, IA 50023
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Powerback Rehabilitation
- Physical Therapist
- West Des Moines, IA
- NPI 1932774890
1254689169
-
dba Powerback Rehabilitation
- Physical Therapist
- Overland Park, KS
- NPI 1225541246
1254689169
National Provider Directory
National Provider Directory- Tax ID family
- Powerback Rehabilitation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Powerback Rehabilitation
- Physical Therapist
- West Des Moines, IA
- NPI 1932774890
-
dba Powerback Rehabilitation
- Physical Therapist
- Overland Park, KS
- NPI 1225541246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743724800000",
"number": "1245974427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "800-728-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 SW STATE ST",
"city": "ANKENY",
"state": "IA",
"postal_code": "500232545",
"telephone_number": "515-895-4560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDD-KRAFFT OCCUPATIONAL AND PHYSICAL THERAPY PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-25",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A",
"authorized_official_last_name": "OPPEL",
"authorized_official_first_name": "IAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "908-254-7007"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.