Active NPI
Kaelyn Layne Hoambrecker, PTA
- Physical Therapy Assistant
- Cedar Rapids, IA
National Provider Identifier
1487414645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 119912
- Practice address
- 2115 1St Ave SE
Cedar Rapids, IA 52402-6353 - Phone
- (319) 850-3937
- NPI assigned
- Mar 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 119912 | IA | Primary |
Addresses
Primary practice location
2115 1St Ave SE
Cedar Rapids, IA 52402-6353
Mailing address
3085 8TH St Apt D
Marion, IA 52302-5442
Phone (319) 850-3937
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1487414645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3085 8TH ST APT D",
"city": "MARION",
"state": "IA",
"postal_code": "523025442",
"telephone_number": "319-850-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 1ST AVE SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524026353",
"telephone_number": "319-850-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOAMBRECKER",
"first_name": "KAELYN",
"middle_name": "LAYNE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-22",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "119912",
"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 Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.