Individual provider Active NPI

Aaron Sloterdyk, DPT

  • Physical Medicine & Rehabilitation Physician
  • Cedar Rapids, IA
National Provider Identifier
1467017244
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
094214 Issued in IA
Practice address
645 32ND Ave SW Ste a
Cedar Rapids, IA 52404-3907
Phone
(319) 363-2901
Fax
(319) 363-2903
NPI assigned
May 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 094214 IA Primary

Addresses

Primary practice location

645 32ND Ave SW Ste a
Cedar Rapids, IA 52404-3907

Mailing address

3290 Ridgeway Dr Ste 3
Coralville, IA 52241-2023
Phone (319) 665-2630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
094214IAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1467017244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 RIDGEWAY DR STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412023",
            "telephone_number": "319-665-2630",
            "fax_number": "319-665-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 32ND AVE SW STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043907",
            "telephone_number": "319-363-2901",
            "fax_number": "319-363-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTERDYK",
        "first_name": "AARON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "094214",
            "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 May 7, 2019; 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.