NPIMap

Organization Active NPI

Midwest Therapy Center

  • Speech-Language Pathologist
  • Bettendorf, IA
National Provider Identifier
1548636038
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
078740 Issued in IA
Legal business name
MIDWEST THERAPY CENTER
Practice address
3740 Utica Ridge Rd
Bettendorf, IA 52722-1657
Phone
(563) 326-1400
Fax
(563) 326-0700
NPI assigned
Aug 19, 2015
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BRAATEN HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Mr. Curtis Witt, P.T.
Title
Operations Director
Phone
(563) 326-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 078740 IA Primary

Addresses

Primary practice location

3740 Utica Ridge Rd
Bettendorf, IA 52722-1657

Mailing address

3740 Utica Ridge Rd
Bettendorf, IA 52722-1657
Phone (563) 326-1400

National Provider Directory

National Provider Directory
Tax ID family
Braaten Health Outpatient Services9 organizations share this tax ID, including this one
Part of
Braaten Health Outpatient Services

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1548636038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221657",
            "telephone_number": "563-326-1400",
            "fax_number": "563-326-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221657",
            "telephone_number": "563-326-1400",
            "fax_number": "563-326-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST THERAPY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAATEN HEALTH LLC",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "563-326-1400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "078740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.