Organization Active NPI

Camanche Physical Therapy Rehab Services

  • Physical Therapist
  • Camanche, IA
National Provider Identifier
1497734792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02817 Issued in IA
Legal business name
CAMANCHE PHYSICAL THERAPY REHAB SERVICES
Practice address
1427 S Washington Blvd
Camanche, IA 52730-1707
Phone
(563) 349-8646
NPI assigned
Jan 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Amy Louise Hayes, M.S.P.T.
Title
President
Phone
(563) 349-8646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 02817 IA Primary

Addresses

Primary practice location

1427 S Washington Blvd
Camanche, IA 52730-1707

Mailing address

1427 S Washington Blvd
Camanche, IA 52730-1707
Phone (563) 349-8646

National Provider Directory

National Provider Directory

Locations

1427 S Washington Blvd
Camanche, IA 52730
Phone (563) 259-4440

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497734792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 S WASHINGTON BLVD",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527301707",
            "telephone_number": "563-349-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 S WASHINGTON BLVD",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527301707",
            "telephone_number": "563-349-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMANCHE PHYSICAL THERAPY REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-349-8646",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camanche, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.