Active NPI
Kurt M Walderbach, PT
- Physical Therapist
- Charles City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01369
- Practice address
- PO Box 93
Charles City, IA 50616-0093 - Phone
- (641) 715-1230
- Fax
- (641) 715-1231
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- 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 | 01369 | IA | Primary |
Addresses
Primary practice location
PO Box 93
Charles City, IA 50616-0093
Mailing address
PO Box 93
Charles City, IA 50616-0093
Phone (641) 715-1230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
318 N Main St
Charles City, IA 50616-2020
Phone (641) 715-1230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01369 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Physical Therapy & Sports Medicine, P.C. | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Past | Accepting new patients |
| McFarland Clinic, PC | Past | Accepting new patients |
Locations
318 N Main St
Charles City, IA 50616
Phone (641) 715-1230
520 S Pierce Ave
Ste 224
Mason City, IA 50401
Phone (641) 421-8584
704 7th St N
Northwood, IA 50459
Phone (641) 323-7334
820 Sawyer Dr
Osage, IA 50461
Phone (641) 715-1230
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Charles City, IA
- NPI 1881080984
Physical Therapist
-
- Physical Therapy Clinic/Center
- Ames, IA
- NPI 1427132711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1578696993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506160093",
"telephone_number": "641-715-1230",
"fax_number": "641-715-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 93",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506160093",
"telephone_number": "641-715-1230",
"fax_number": "641-715-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDERBACH",
"first_name": "KURT",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "01369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charles City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.