NPIMap

Individual provider Active NPI

Paul L Ouverson, DPT

  • Physical Therapist
  • Grimes, IA
National Provider Identifier
1467422964
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03588 Issued in IA
Practice address
270 W 1St St
Suite H
Grimes, IA 50111-2145
Phone
(515) 986-9667
Fax
(515) 986-9642
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03588 IA Primary

Addresses

Primary practice location

270 W 1St St
Suite H
Grimes, IA 50111-2145

Mailing address

1231 S G Ave
P.O. Box 461
Nevada, IA 50201-2717
Phone (515) 382-3366

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

Practice roles

OrganizationSpecialtyStatusNew patients
21St Century Rehab, PC Past Accepting new patients
21St Century Rehab PC Past Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients
Eastern Iowa Therapeutics PC Physical Therapist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1467422964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 S G AVE",
            "address_2": "P.O. BOX 461",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012717",
            "telephone_number": "515-382-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W 1ST ST",
            "address_2": "SUITE H",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112145",
            "telephone_number": "515-986-9667",
            "fax_number": "515-986-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUVERSON",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.