Individual provider Active NPI

Holly Lieurance, DPT

  • Physical Therapist
  • Dyersville, IA
National Provider Identifier
1497367247
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
100679 Issued in IA
Practice address
120 Twin Steeples Cir NE
Dyersville, IA 52040-1255
Phone
(563) 855-8600
Fax
(563) 855-8601
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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 100679 IA Primary

Addresses

Primary practice location

120 Twin Steeples Cir NE
Dyersville, IA 52040-1255

Mailing address

4700 Tama St SE Ste 700
Cedar Rapids, IA 52403-4558
Phone (319) 447-0700

Other practice location 1

2166 Blairs Ferry Rd
Hiawatha, IA 52233-7902
Phone (319) 395-6000

Other practice location 2

4700 Tama St SE Ste 700
Cedar Rapids, IA 52403-4558
Phone (319) 447-0700

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
100679IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. CurrentSince Mar 13, 2022 Accepting new patients
Physiotherapy Associates Inc Physical Therapist PastSince Mar 13, 2022 Accepting new patients

Locations

1555 S 1st Ave
Iowa City, IA 52240
Phone (319) 248-6800

Organizations & group practices 2

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1497367247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 TAMA ST SE STE 700",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524034558",
            "telephone_number": "319-447-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TWIN STEEPLES CIR NE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401255",
            "telephone_number": "563-855-8600",
            "fax_number": "563-855-8601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2166 Blairs Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "IA",
            "postal_code": "522337902",
            "country_code": "US",
            "telephone_number": "319-395-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Tama St SE Ste 700",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524034558",
            "country_code": "US",
            "telephone_number": "319-447-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEURANCE",
        "first_name": "HOLLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "100679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.