Individual provider Active NPI

Nathan Shank, PT, DPT

  • Physical Therapist
  • Grinnell, IA
National Provider Identifier
1598358798
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
107101 Issued in IA
Practice address
234 West St S Unit 4
Grinnell, IA 50112-8160
Phone
(641) 236-4506
Fax
(641) 236-4316
NPI assigned
Feb 18, 2021
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 107101 IA Primary

Addresses

Primary practice location

234 West St S Unit 4
Grinnell, IA 50112-8160

Mailing address

234 West St S Unit 4
Grinnell, IA 50112-8160
Phone (641) 236-4506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331000579 IA Practitioner - Physical Therapist in Private Practice 8820405277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

234 W St S
Unit 4
Grinnell, IA 50112-8160
Phone (641) 236-4506

234 W St S Unit
Suite 4
Grinnell, IA 50112-8160

507 Court St
Williamsburg, IA 52361-9429
Phone (319) 668-9453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107101IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab-Orthopedic & Sports Specialists, P.C. CurrentSince Feb 18, 2021 Accepting new patients
Total Rehab-Orthopedic and Sports Specialist, P.C. Physical Therapist CurrentSince Feb 18, 2021 Accepting new patients

Locations

234 West St S
Unit 4
Grinnell, IA 50112
Phone (641) 236-4506

507 Court St
Williamsburg, IA 52361
Phone (319) 668-9453

Organizations & group practices 2

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1598358798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WEST ST S UNIT 4",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501128160",
            "telephone_number": "641-236-4506",
            "fax_number": "641-236-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WEST ST S UNIT 4",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501128160",
            "telephone_number": "641-236-4506",
            "fax_number": "641-236-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "NATHAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "107101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.

Verify at the official NPI Registry.