Rock Valley Therapy Services PC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

ROCK VALLEY THERAPY SERVICES PC

Practice address

2109 Cedarwood Dr Ste 200
Muscatine, IA 52761-2670

Phone

(563) 263-0557

NPI assigned

Dec 8, 2017

Reactivated

Aug 20, 2018

Last updated

Aug 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall E Boldt, PTNPI 1043277155

Title

Cfo

Phone

(309) 743-2070

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall E Boldt, PT

  • Physical Therapist
  • Davenport, IA
  • NPI 1043277155
  NPD Authorized official

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1578078812",
    "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",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 CEDARWOOD DR STE 200",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612670",
            "telephone_number": "563-263-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK VALLEY THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-08-20",
        "deactivation_date": "2018-03-01",
        "reactivation_date": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "BOLDT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-743-2070",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Riester, PT
• Rivercity Transportation LLC
• Robert & Dawn Lagone DPM PC
• Melissa Ann Robinson, RN, BSN
• Rock Valley Physical Therapy Center PC
• Rock Valley Therapy Services, PC
• Alicia Roesger
• Shae Romero
• Katharine Campbell Rosenthal, RDN, LD
• Stellera Roth, RDN, LDN

• Pediatric Physical Therapist in Muscatine, IA
• Providers in Muscatine, IA by specialty
• Pediatric Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.