Vincent Eldridge, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00721

Practice address

2751 Northgate Dr
Iowa City, IA 52245-9509

Phone

(319) 354-5114

Fax

(319) 354-0804

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Progressive Rehab Chiropractic, L.L.C.

  • Chiropractor
  • Tipton, IA
  • NPI 1467967919
  NPD (past)
• Progressive Rehabilitation Associates L.L.C.

  • Physical Therapist
  • Iowa City, IA
  • NPI 1851462865
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467589366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TOWNCREST DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406631",
            "telephone_number": "319-354-2429",
            "fax_number": "319-354-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459509",
            "telephone_number": "319-354-5114",
            "fax_number": "319-354-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "VINCENT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "00721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665463",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satheesh Elangovan, BDS., DSC., DMSC
• Diane E Elas, ARNP
• Usamah Mohamed Elbakkush
• Elder Services, Inc.
• Carly Elder, RN
• Elemental Transformations, LLC
• Mohamed Eletrebi
• Elevate Family Chiropractic
• Amira Elgreatly, BDS
• Thomas Amiowele Elimihele, MD

• Physical Therapist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.