NPIMap

Organization Active NPI

Advanced Physical Therapy Services, LTD.

  • 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.
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
Organization subpart
Yes
Parent organization
ADVANCED PHYSICAL THERAPY SERVICESAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mr. Michael R Salaway
Title
President of Operations
Phone
(309) 661-8823

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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Rehab Sports Medicine10 organizations share this tax ID, including this one
Part of
Advanced Rehab Sports Medicine

Other organizations with this tax ID 9

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • Advanced Rehab and Sports Medicine Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2011.

{
    "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.