Individual provider Active NPI

Timothy Saulsbury, DPT

  • Physical Therapist
  • Sioux City, IA
National Provider Identifier
1508846874
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
915 Pierce St
Sioux City, IA 51101-1031
Phone
(712) 234-8760
Fax
(712) 234-8765
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 Primary

Addresses

Primary practice location

915 Pierce St
Sioux City, IA 51101-1031

Mailing address

850 43Rd Ave Ste 100
Moline, IL 61265-8401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100723000319 IA Practitioner - Physical Therapist in Private Practice 6204963085 Reassigns benefits to 2 organizations
I20160420002151 SD Practitioner - Physical Therapist in Private Practice 6204963085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Valley Physical Therapy CenterGroup PAC ID 9638087877, 232 clinicians

Practice addresses (Care Compare)

317 Dakota Dunes Blvd
Suite J
Dakota Dunes, SD 57049-5341
Phone (605) 540-4491

400 Ovesen Dr
Wilton, IA 52778-9612
Phone (563) 732-4317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1809CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialists PC Physical Therapist Current Accepting new patients
Physical Therapy Specialists PC Physical Therapist CurrentSince May 1, 2000 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

915 Pierce St
Sioux City, IA 51101
Phone (712) 234-8760

400 Ovesen Dr
Wilton, IA 52778
Phone (563) 732-2121

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

150 Tower Rd
Ste 115
Dakota Dunes, SD 57049
Phone (605) 540-4491

317 Dakota Dunes Blvd
Ste J
North Sioux City, SD 57049
Phone (605) 540-4491

Organizations & group practices 4

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1508846874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011031",
            "telephone_number": "712-234-8760",
            "fax_number": "712-234-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULSBURY",
        "first_name": "TIMOTHY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.