Organization Active NPI

Advanced Rehab Technologies, Inc.

  • Customized Equipment (DME)
  • Urbandale, IA
National Provider Identifier
1598769127
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ADVANCED REHAB TECHNOLOGIES, INC.
Practice address
3936 NW Urbandale Dr
Urbandale, IA 50322-7922
Phone
(515) 270-1522
Fax
(515) 270-4914
NPI assigned
Jun 10, 2005
Last updated
Feb 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Mr. David A Hartley Jr.
Title
Owner
Phone
(317) 333-6033

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3936 NW Urbandale Dr
Urbandale, IA 50322-7922

Mailing address

9245 N Meridian St
Suite 200
Indianapolis, IN 46260-1836
Phone (317) 333-6033

Other identifiers 2

IdentifierTypeStateIssuer
0281931MedicaidIA
33217OtherIAWELLMARK BLUE CROSS BLUE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3936 NW Urbandale Dr
Urbandale, IA 50322
Phone (515) 270-1522

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1598769127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 N MERIDIAN ST",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601836",
            "telephone_number": "317-333-6033",
            "fax_number": "317-333-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 NW URBANDALE DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227922",
            "telephone_number": "515-270-1522",
            "fax_number": "515-270-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHAB TECHNOLOGIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-333-6033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281931",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE",
            "identifier": "33217",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.