Organization Active NPI

Fox Rehab SLP Ia PLLC

  • Speech-Language Pathologist
  • Norwalk, IA
National Provider Identifier
1427719947
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FOX REHAB SLP IA PLLC
Practice address
2901 Cedar St
Norwalk, IA 50211-9736
Phone
(877) 407-3422
Fax
(877) 407-4329
NPI assigned
Jan 6, 2022
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Neil Weisshaar
Title
Chief of Staff
Phone
(877) 407-3422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2901 Cedar St
Norwalk, IA 50211-9736

Mailing address

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220520001669 IA Part B Supplier - Clinic/Group Practice 3870970486 Receives reassigned benefits from 36 practitioners
Practice locations: Decorah, IA; Waterloo, IA; Norwalk, IA

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lutheran Retirement HomeNorthwood, IA, CCN 165485 Skilled nursing facility Adp of the SNF Jun 30, 2024
Tripoli Nursing & RehabTripoli, IA, CCN 165494 Skilled nursing facility Adp of the SNF Jun 30, 2024
Hillcrest Home, Inc.Sumner, IA, CCN 165502 Skilled nursing facility Adp of the SNF Jun 30, 2024
Denver Sunset HomeDenver, IA, CCN 165603 Skilled nursing facility Adp of the SNF Jun 30, 2024
Westbrook AcresGladbrook, IA, CCN 165446 Skilled nursing facility Adp of the SNF Jun 30, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1427719947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CARNEGIE PLZ",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031000",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CEDAR ST",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119736",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX REHAB SLP IA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "WEISSHAAR",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "877-407-3422"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, IA

Sources for this page

Verify at the official NPI Registry.