Douglas Dean Wumkes, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03838 Issued in IA

Practice address

540 E. Jefferson Street
Ste. 302
Iowa City, IA 52245

Phone

(319) 339-3611

Fax

(319) 339-3878

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Physical Therapy of Iowa

  • Physical Therapist
  • Burlington, IA
  • NPI 1477325132
  NPD
• Progressive Rehabilitation Associates L.L.C.

  • Physical Therapist
  • Iowa City, IA
  • NPI 1851462865
  NPD
• Iowa Physical Therapy PC

  • Occupational Medicine Clinic/Center
  • Cedar Rapids, IA
  • NPI 1386716074
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1386778249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SCOTT BLVD.",
            "address_2": "STE. 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240",
            "telephone_number": "319-354-2429",
            "fax_number": "319-354-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E. JEFFERSON STREET",
            "address_2": "STE. 302",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-339-3611",
            "fax_number": "319-339-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUMKES",
        "first_name": "DOUGLAS",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06-65463",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Elise Wrobel, MD
• Kymberly Ann Wroble, RD, LD
• Kevin Wu, MD
• Peizhe Wu, MD, PHD
• Yanghong Wu
• Shelly Meyer Wunder
• Thaddeus Wunder
• Lynzie Michelle Wurr
• Michael G Wurth, PHARMD
• Ann M Wyborny, DO

• Physical Therapist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.