Individual provider Active NPI

Joshua Michael Menke Moews, PTA, CLT

  • Physical Therapy Assistant
  • Ames, IA
National Provider Identifier
1588494496
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
126983 Issued in IA
Practice address
2205 Green Hills Dr
Ames, IA 50014-9101
Phone
(515) 357-5000
NPI assigned
Aug 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2062 MN
Physical Therapy Assistant 225200000X 126983 IA Primary

Addresses

Primary practice location

2205 Green Hills Dr
Ames, IA 50014-9101

Mailing address

5881 Moonlight Way NE
Prior Lake, MN 55372-1381

Other names 1

  • Joshua Michael Menke Former name

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

LicenseStateTypeSpecialty
126983IAMDPhysical Therapy Assistant
A2062MNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1588494496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 MOONLIGHT WAY NE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 GREEN HILLS DR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500149101",
            "telephone_number": "515-357-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEWS",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL MENKE",
        "credential": "PTA, CLT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2062",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "126983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "MENKE",
            "middle_name": "MICHAEL",
            "credential": "PTA, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.