Individual provider Active NPI

Kalais M Slaubaugh, DPT

  • Physical Therapist
  • Polk City, IA
National Provider Identifier
1336506336
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
080282 Issued in IA
Practice address
419 W Bridge Rd
Ste a
Polk City, IA 50226-2219
Phone
(515) 984-6377
Fax
(515) 984-6782
NPI assigned
Jan 21, 2016
Last updated
Dec 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 080282 IA Primary

Addresses

Primary practice location

419 W Bridge Rd
Ste a
Polk City, IA 50226-2219

Mailing address

850 43Rd Ave
Suite 100
Moline, IL 61265-8401
Phone (309) 743-2070

Other names 1

  • Kalais Kuhlmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408000980 IA Practitioner - Physical Therapist in Private Practice 1658679535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

419 W Bridge Rd a
Polk City, IA 50226-0142
Phone (515) 984-6377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080282IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Feb 15, 2016 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Feb 15, 2016 Accepting new patients

Locations

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

1427 S Washington Blvd
Camanche, IA 52730
Phone (563) 259-4440

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

1905 Ingersoll Ave
Ste 104
Des Moines, IA 50309
Phone (515) 369-2306

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

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

5700 University Ave
Ste 222
West Des Moines, IA 50266
Phone (309) 743-2070

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1336506336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE",
            "address_2": "SUITE 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": "419 W BRIDGE RD",
            "address_2": "STE A",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502262219",
            "telephone_number": "515-984-6377",
            "fax_number": "515-984-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUBAUGH",
        "first_name": "KALAIS",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "080282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALAIS",
            "last_name": "KUHLMANN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Polk City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.