Individual provider Active NPI

Oz Wolfensperger, PT

  • Physical Therapist
  • Cedar Falls, IA
National Provider Identifier
1417486408
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
087636 Issued in IA
Practice address
2351 Hudson Rd Ste 164
Cedar Falls, IA 50614-0065
Phone
(319) 273-5265
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 087636 IA Primary

Addresses

Primary practice location

2351 Hudson Rd Ste 164
Cedar Falls, IA 50614-0065

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oz.wolfensperger@cvms.eclinicaldirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170614000093 IA Practitioner - Physical Therapist in Private Practice 8426326513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Valley Medical Specialists PCGroup PAC ID 1759291487, 61 clinicians

Practice addresses (Care Compare)

125 E Tower Park Dr
Waterloo, IA 50701-9330
Phone (319) 234-5990

1753 W Ridgeway Ave
Waterloo, IA 50701-4588

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3941

2351 Hudson Rd
Cedar Falls, IA 50614-0065

4612 Prairie Pkwy
Cedar Falls, IA 50613-7971
Phone (319) 859-8139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087636IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Medical Specialists PC CurrentSince Jun 12, 2017 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Jun 12, 2017 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients

Locations

2351 Hudson Rd
Ste 164
Cedar Falls, IA 50614
Phone (319) 273-5265

1631 Logan Ave
Waterloo, IA 50703
Phone (319) 232-2630

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

125 E Tower Park Dr
Waterloo, IA 50701
Phone (319) 232-6339

4150 Kimball Ave
Waterloo, IA 50701
Phone (319) 235-5390

Interoperability endpoints

  • Direct secure messaging: oz.wolfensperger@cvms.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1417486408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 HUDSON RD STE 164",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506140065",
            "telephone_number": "319-273-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFENSPERGER",
        "first_name": "OZ",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "087636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oz.wolfensperger@cvms.eclinicaldirect.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2351 Hudson Rd Ste 164",
            "city": "Cedar Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506140065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.