Cardinal Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CARDINAL PHYSICAL THERAPY LLC

Practice address

601 W 29TH St
S Sioux City, NE 68776-3192

Phone

(712) 635-7796

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Isaac Tubbesing, DPTNPI 1154739001

Title

Owner/Provider

Phone

(712) 635-7796

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

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

• Isaac Tubbesing, PT, DPT

  • Physical Therapist
  • South Sioux City, NE
  • NPI 1154739001
  Medicare reassignment Care Compare group NPD Authorized official
• Chad Wiebelhaus, SPT

  • Physical Therapist
  • S Sioux City, NE
  • NPI 1255228219
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1538850235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 29TH ST STE B",
            "city": "S SIOUX CITY",
            "state": "NE",
            "postal_code": "687763192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 29TH ST",
            "city": "S SIOUX CITY",
            "state": "NE",
            "postal_code": "687763192",
            "telephone_number": "712-635-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "TUBBESING",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "712-635-7796",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in S Sioux City, NE
• Providers in S Sioux City, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.