Active NPI
Caley Ploessl
- Physical Therapist
- Hiawatha, IA
National Provider Identifier
1548898901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 089852
- Practice address
- 2200 Heritage Green Dr
Hiawatha, IA 52233-2326 - Phone
- (319) 693-7745
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 089852 | IA | Primary |
Addresses
Primary practice location
2200 Heritage Green Dr
Hiawatha, IA 52233-2326
Mailing address
2200 Heritage Green Dr
Hiawatha, IA 52233-2326
Phone (319) 693-7745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089852 | Other | IA | IOWA BOARD OF PHYSICAL AND OCCUPATIONAL THERAPY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | caley@balancedfitnessandhealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089852 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Fitness & Health | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1548898901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 HERITAGE GREEN DR",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332326",
"telephone_number": "319-693-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 HERITAGE GREEN DR",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332326",
"telephone_number": "319-693-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOESSL",
"first_name": "CALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "089852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA BOARD OF PHYSICAL AND OCCUPATIONAL THERAPY",
"identifier": "089852",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "caley@balancedfitnessandhealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2200 Heritage Green Dr",
"city": "Hiawatha",
"state": "IA",
"country_code": "US",
"postal_code": "522332326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.