Organization Active NPI

Work Systems Rehab, PC

Doing business as Kinetic Edge Physical Therapy

  • Physical Therapist
  • Pella, IA
National Provider Identifier
1417047317
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WORK SYSTEMS REHAB, PC
Doing business as
Kinetic Edge Physical Therapy
Practice address
604 Liberty St Ste 227
Pella, IA 50219-1776
Phone
(641) 621-0230
Fax
(641) 621-0319
NPI assigned
Oct 13, 2006
Last updated
Jul 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Renae Oppenhuizen
Title
Practice Manager
Phone
(641) 204-0046

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

604 Liberty St Ste 227
Pella, IA 50219-1776

Mailing address

604 Liberty St Ste 227
Pella, IA 50219-1776
Phone (641) 621-0230

Other identifiers 3

IdentifierTypeStateIssuer
31057OtherIAWELLMARK
0423806MedicaidIA
I9188OtherIAMEDICARE PTAN

Other names 2

  • Kinetic Edge Physical Therapy Doing business as
  • Work Systems Rehab & Fitness, PC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040213000305 IA Part B Supplier - Clinic/Group Practice 5193619625 Receives reassigned benefits from 41 practitioners
Practice locations: Pella, IA; Oskaloosa, IA; Newton, IA; Des Moines, IA; Centerville, IA; Ames, IA; Albia, IA; Colfax, IA

National Provider Directory

National Provider Directory

Locations

551 N F St
Ste K
Albia, IA 52531
Phone (641) 932-0250

2622 Stange Rd
Ste 102
Ames, IA 50010
Phone (515) 620-2455

4700 Mortensen Rd
Ste 101
Ames, IA 50014
Phone (515) 337-1037

1011 N 18th St
Centerville, IA 52544
Phone (641) 856-2515

516 3rd St
Des Moines, IA 50309
Phone (515) 309-4706

3330 Asbury Rd
Dubuque, IA 52002
Phone (563) 542-0882

1715 1st Ave E
Newton, IA 50208
Phone (641) 791-9675

321 E 3rd St N
Ste 200
Newton, IA 50208
Phone (641) 791-9675

1412 A Ave W
Ste A
Oskaloosa, IA 52577
Phone (641) 676-3535

1417 A Ave E
Ste 200
Oskaloosa, IA 52577
Phone (641) 676-3535

308 SE 9th St
Pella, IA 50219
Phone (641) 621-0230

604 Liberty St
Ste 227
Pella, IA 50219
Phone (641) 204-0046

890 SE Olson Dr
Ste 101
Waukee, IA 50263
Phone (515) 309-4706

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1417047317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LIBERTY ST STE 227",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191776",
            "telephone_number": "641-621-0230",
            "fax_number": "641-621-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LIBERTY ST STE 227",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191776",
            "telephone_number": "641-621-0230",
            "fax_number": "641-621-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORK SYSTEMS REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "OPPENHUIZEN",
        "authorized_official_first_name": "RENAE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "641-204-0046"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "31057",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423806",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "I9188",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetic Edge Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Work Systems Rehab & Fitness, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pella, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.