NPIMap

Organization Active NPI

Sports Rehab & Professional Therapy Associates

  • Customized Equipment (DME)
  • Storm Lake, IA
National Provider Identifier
1285772970
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
M096051 Issued in IA
Legal business name
SPORTS REHAB & PROFESSIONAL THERAPY ASSOCIATES
Practice address
315 W 5TH St
Storm Lake, IA 50588-1743
Phone
(712) 732-7725
Fax
(712) 732-5153
NPI assigned
Feb 2, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Todd D Nicholson, PHYSICAL THERAPISTNPI 1750429593
Title
President Physical Therapist
Phone
(712) 732-7725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X M096051 IA
Customized Equipment (DME) 332BC3200X M096051 IA Primary

Addresses

Primary practice location

315 W 5TH St
Storm Lake, IA 50588-1743

Mailing address

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7725

Other identifiers 1

IdentifierTypeStateIssuer
0118984MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285772970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881743",
            "telephone_number": "712-732-7725",
            "fax_number": "712-732-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881743",
            "telephone_number": "712-732-7725",
            "fax_number": "712-732-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS REHAB & PROFESSIONAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "712-732-7725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "M096051",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IA",
            "license": "M096051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118984",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.