Physical Therapy Consultants, LC

Primary specialty

SpecialistTaxonomy code 174400000X

License

03384 Issued in IA

Legal business name

PHYSICAL THERAPY CONSULTANTS, LC

Practice address

802 Bluff LN
Leclaire, IA 52753-9396

Phone

(563) 343-3908

NPI assigned

Sep 14, 2006

Last updated

Jul 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Bettina J Hermiston, MPT, CFMT

Title

Owner/Director

Phone

(563) 343-3908

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1447355177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 BLUFF LN",
            "city": "LECLAIRE",
            "state": "IA",
            "postal_code": "527539396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 BLUFF LN",
            "city": "LECLAIRE",
            "state": "IA",
            "postal_code": "527539396",
            "telephone_number": "563-343-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CONSULTANTS, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "HERMISTON",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "563-343-3908",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT, CFMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "03384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Le Claire, IA
• Providers in Le Claire, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.