Active NPI
Becky Admire, PT
- Physical Therapist
- Sergeant Bluff, IA
National Provider Identifier
1376573485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1151
- Practice address
- 319 Sergeant Square Dr
Sergeant Bluff, IA 51054-7729 - Phone
- (712) 943-2500
- Fax
- (712) 943-5696
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1151 | IA | Primary |
| Physical Therapist | 225100000X | 1045 | NE |
Addresses
Primary practice location
319 Sergeant Square Dr
Sergeant Bluff, IA 51054-7729
Mailing address
319 Sergeant Square Dr
Sergeant Bluff, IA 51054-7729
Phone (712) 943-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46130 | Other | WELLMARKBCBS OF IOWA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1151 | IA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Health Resources | Past | Accepting new patients | |
| St Lukes Health Resources | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Sioux City, IA
- NPI 1528001492
-
- Clinic/Center
- Ponca, NE
- NPI 1619932373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1376573485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 SERGEANT SQUARE DR",
"city": "SERGEANT BLUFF",
"state": "IA",
"postal_code": "510547729",
"telephone_number": "712-943-2500",
"fax_number": "712-943-5696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 SERGEANT SQUARE DR",
"city": "SERGEANT BLUFF",
"state": "IA",
"postal_code": "510547729",
"telephone_number": "712-943-2500",
"fax_number": "712-943-5696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADMIRE",
"first_name": "BECKY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "1151",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1045",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARKBCBS OF IOWA",
"identifier": "46130",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Sergeant Bluff, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.