NPIMap

Organization Active NPI

Kepros Physical Therapy and Performance, P.C.

  • Physical Therapy Clinic/Center
  • Cedar Rapids, IA
National Provider Identifier
1457779019
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KEPROS PHYSICAL THERAPY AND PERFORMANCE, P.C.
Practice address
101 3Rd Ave SW
Suite 102
Cedar Rapids, IA 52404-5736
Phone
(319) 361-3546
NPI assigned
Apr 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mr. Theodore John Kepros, PT, MPT, MTCNPI 1639274228
Title
Owner
Phone
(319) 361-3546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

101 3Rd Ave SW
Suite 102
Cedar Rapids, IA 52404-5736

Mailing address

101 3Rd Ave SW
Suite 102
Cedar Rapids, IA 52404-5736

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160406001928 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719105063 Receives reassigned benefits from 19 practitioners
Practice locations: Cedar Rapids, IA; Marion, IA; North Liberty, IA

National Provider Directory

National Provider Directory

Locations

101 3rd Ave SW
Ste 102
Cedar Rapids, IA 52404
Phone (319) 200-6102

101 3rd Ave SW
Cedar Rapids, IA 52404

218 4th Ave SW
Cedar Rapids, IA 52404
Phone (319) 200-6102

905 29th Ave
Ste 140
Marion, IA 52302
Phone (319) 200-2066

917 Barrington Pkwy
Marion, IA 52302
Phone (319) 200-6102

780 Community Dr
Unit 5
North Liberty, IA 52317
Phone (319) 383-0322

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1457779019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 3RD AVE SW",
            "address_2": "SUITE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 3RD AVE SW",
            "address_2": "SUITE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045736",
            "telephone_number": "319-361-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEPROS PHYSICAL THERAPY AND PERFORMANCE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "KEPROS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-361-3546",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MPT, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.