NPIMap

Organization Active NPI

Advanced Physical Therapy Services, LTD.

Doing business as Advanced Rehab and Sports Medicine

  • Physical Therapist
  • West Burlington, IA
National Provider Identifier
1508017682
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANCED PHYSICAL THERAPY SERVICES, LTD.
Doing business as
Advanced Rehab and Sports Medicine
Practice address
403 S Gear Ave
Suite 105
West Burlington, IA 52655-1071
Phone
(319) 752-5129
Fax
(319) 752-5164
NPI assigned
Oct 7, 2008
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED PHYSICAL THERAPY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Mr. Michael R SalawayNPI 1467450627
Title
President of Operations
Phone
(309) 661-8823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

403 S Gear Ave
Suite 105
West Burlington, IA 52655-1071

Mailing address

PO Box 5387
Bloomington, IL 61702-5387
Phone (309) 661-8823

Other names 1

  • Advanced Rehab and Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Physical Therapy10 organizations share this tax ID, including this one
Part of
Advanced Physical Therapy

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1508017682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5387",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617025387",
            "telephone_number": "309-661-8823",
            "fax_number": "309-661-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S GEAR AVE",
            "address_2": "SUITE 105",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551071",
            "telephone_number": "319-752-5129",
            "fax_number": "319-752-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY SERVICES, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PHYSICAL THERAPY SERVICES",
        "enumeration_date": "2008-10-07",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "SALAWAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "309-661-8823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Rehab and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.