21St Century Rehab PC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

21ST CENTURY REHAB PC

Practice address

209 W 2ND St
Madrid, IA 50156-1211

Phone

(515) 795-2427

Fax

(515) 795-2482

NPI assigned

Jun 10, 2008

Last updated

Feb 27, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

21ST CENTURY REHAB PCAs reported in NPPES

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

Authorized official

Name

Michelle R Cassabaum

Title

Cfo

Phone

(515) 382-3366

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• 21St Century Rehab PC

  dba Indianola Physical Therapy

  • Rehabilitation Clinic/Center
  • Indianola, IA
  • NPI 1174783583

  O20250411001117

  Same enrollment
• 21St Century Rehab, PC

  • Rehabilitation Clinic/Center
  • Altoona, IA
  • NPI 1114963154

  O20250411001117

  Same enrollment

Part of

Twenty First Century

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• 21St Century Rehab, PC

  • Rehabilitation Hospital
  • Nevada, IA
  • NPI 1609285790
  NPPES parent name

Practitioners 49

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.

• Jillian Atkinson, DPT

  • Physical Therapist
  • Indianola, IA
  • NPI 1619782059
  NPD
• Lindsay S Capps, PT, DPT

  • Physical Therapist
  • Indianola, IA
  • NPI 1811200611
  NPD
• Adriana Cullinan, DPT

  • Physical Therapist
  • Boone, IA
  • NPI 1417654716
  NPD
• Matthew Ray Dewall, MPT CSCS

  • Physical Therapist
  • Indianola, IA
  • NPI 1194782961
  NPD
• Gabriel Dubberke

  • Physical Therapist
  • Osceola, IA
  • NPI 1689282956
  NPD
• Ashley Friday

  • Physical Therapist
  • Jefferson, IA
  • NPI 1861836488
  NPD
• Joshua G Gibbons, DPT

  • Physical Therapist
  • Madrid, IA
  • NPI 1396586665
  NPD
• Max Goodhue, DPT

  • Physical Therapist
  • Carlisle, IA
  • NPI 1699669010
  NPD
• Megan N Hall, DPT

  • Physical Therapist
  • Indianola, IA
  • NPI 1134962707
  NPD
• Katherine Doris Hensley, DPT

  • Physical Therapist
  • Osceola, IA
  • NPI 1093609323
  NPD
• Eric Michael Holton, DPT

  • Physical Therapist
  • Indianola, IA
  • NPI 1376975326
  NPD
• Jason Charles Horras, MPT

  • Physical Therapist
  • Nevada, IA
  • NPI 1659339331
  NPD

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1407016819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502010461",
            "telephone_number": "515-382-3366",
            "fax_number": "515-382-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 2ND ST",
            "city": "MADRID",
            "state": "IA",
            "postal_code": "501561211",
            "telephone_number": "515-795-2427",
            "fax_number": "515-795-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY REHAB PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "21ST CENTURY REHAB PC",
        "enumeration_date": "2008-06-10",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "CASSABAUM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-382-3366"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665596",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "66559",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma C Aitchison, LMT
• Rebecca Yvonne Baker, ARNP, PMHNP-BC
• Abby Bennett, DNP
• Landen Burke, DC
• CC Anderson PC (Medicap)

• Rehabilitation Clinic/Center in Madrid, IA
• Providers in Madrid, IA by specialty
• Rehabilitation Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.