Fetter Physical Therapy PLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FETTER PHYSICAL THERAPY PLC

Practice address

225 Beaver Kreek Ctr Unit C
North Liberty, IA 52317-9134

Phone

(319) 251-3239

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

Rebecca FetterNPI 1225553647

Title

Owner

Phone

(618) 964-6393

Specialties & licenses 1

Addresses

Other names 1

• Enduring Strength Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Rae Fetter, PT

  • Physical Therapist
  • Mount Vernon, IA
  • NPI 1225553647
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1417609702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BEAVER KREEK CTR UNIT C",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179134",
            "telephone_number": "319-251-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BEAVER KREEK CTR UNIT C",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179134",
            "telephone_number": "319-251-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETTER PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "FETTER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-964-6393"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enduring Strength",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jersey J Even
• Evergreen Therapy Center LLC
• Eyeprint Prosthetics
• Timothy Fairbanks, LISW
• Family Wellbeing Associates, LLC
• Florence Iyabo Fimihan-Ajayi
• Olivia Raye Fisher
• Erin Michelle Floy, DPT
• Kaitlin Flynn
• Fomak Transportation,LLC

• Physical Therapy Clinic/Center in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Physical Therapy Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.