Clinton Physical Therapy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLINTON PHYSICAL THERAPY

Practice address

931 13TH Ave N
Clinton, IA 52732-5070

Phone

(563) 243-7814

Fax

(563) 243-2441

NPI assigned

Nov 8, 2007

Last updated

Oct 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary D Vande Kamp, P.T.

Title

President

Phone

(563) 357-0305

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1326228255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325070",
            "telephone_number": "563-243-7814",
            "fax_number": "563-243-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325070",
            "telephone_number": "563-243-7814",
            "fax_number": "563-243-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "VANDE KAMP",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-357-0305",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "0111013",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinton Emergency Room Associates
• Clinton Imaging Services, LLC
• Clinton Medical Clinic Pharmacy Inc
• Clinton Municipal Transit
• Clinton Opco LLC
• Clinton Physical Therapy
• Clinton Physical Therapy Services, P.C.
• Clinton Smiles PC
• Clinton Urgent Care PLC
• Cody's Limited, PC

• Durable Medical Equipment & Medical Supplies in Clinton, IA
• Providers in Clinton, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.