Camanche Physical Therapy Rehab Services

Key facts

NPI: 1497734792
Entity type: Organization (NPI type 2)
Primary specialty: Physical Therapist 225100000X
License: 02817 (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
Organization subpart: No

Authorized official

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist Group: 193400000X SINGLE SPECIALTY GROUP	225100000X	02817	IA	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "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

All providers in Camanche, IA · Physical Therapist in Iowa

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.