Active NPI
Proactive Physical Therapy & Sports Rehab, Inc
- Physical Therapist
- Sioux Center, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PROACTIVE PHYSICAL THERAPY & SPORTS REHAB, INC
- Practice address
- 110 16TH St SW
Sioux Center, IA 51250-2944 - Phone
- (712) 722-1902
- Fax
- (712) 722-1905
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Arends, MPT
- Title
- Co-Owner
- Phone
- (712) 722-1902
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
110 16TH St SW
Sioux Center, IA 51250-2944
Mailing address
110 16TH St NW
Sioux Center, IA 51250-1535
Phone (712) 722-1902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150107001238 | IA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4587762406 |
Receives reassigned benefits from 10 practitioners Practice locations: Rock Valley, IA; Sheldon, IA; Sibley, IA; Sioux Center, IA |
National Provider Directory
National Provider Directory- Tax ID family
- Proactive Physical Therapy and Sports Rehab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Sheldon, IA
- NPI 1699068841
Locations
1518 14th St
Ste A
Rock Valley, IA 51247
Phone (712) 470-9898
322 9th St
Sibley, IA 51249
Phone (712) 720-7664
1031 13th Ave NE
Sioux Center, IA 51250
Phone (712) 722-2981
147 S Main Ave
Sioux Center, IA 51250
Phone (712) 363-7779
110 16th St SW
Sioux Center, IA 51250
Phone (712) 722-1902
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Sioux Center, IA
- NPI 1528345022
-
- Physical Therapy Assistant
- Sioux Center, IA
- NPI 1194940064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443052800000",
"number": "1487773602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 16TH ST NW",
"city": "SIOUX CENTER",
"state": "IA",
"postal_code": "512501535",
"telephone_number": "712-722-1902",
"fax_number": "712-722-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 16TH ST SW",
"city": "SIOUX CENTER",
"state": "IA",
"postal_code": "512502944",
"telephone_number": "712-722-1902",
"fax_number": "712-722-1905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE PHYSICAL THERAPY & SPORTS REHAB, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2015-09-24",
"status": "A",
"authorized_official_last_name": "ARENDS",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "712-722-1902",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Center, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.