Active NPI
Isaiah Vlasek
- Physical Therapy Assistant
- Cedar Falls, IA
National Provider Identifier
1609542117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 108290
- Practice address
- 211 W 6TH St
Cedar Falls, IA 50613-2859 - Phone
- (319) 277-3166
- Fax
- (319) 266-4846
- NPI assigned
- Aug 17, 2021
- 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 Therapy Assistant | 225200000X | 108290 | IA | Primary |
Addresses
Primary practice location
211 W 6TH St
Cedar Falls, IA 50613-2859
Mailing address
211 W 6TH St
Cedar Falls, IA 50613-2859
Phone (319) 277-3166
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
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 W 6TH St
Cedar Falls, IA 50613-2859
Phone (319) 277-3166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Therapy Clinic PC | Current | Accepting new patients |
Locations
924 Viking Rd
Ste 101
Cedar Falls, IA 50613
Phone (319) 260-2240
211 W 6th St
Cedar Falls, IA 50613
Phone (319) 277-3166
405 Jefferson St
Waterloo, IA 50701
Phone (319) 833-9333
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1609542117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W 6TH ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132859",
"telephone_number": "319-277-3166",
"fax_number": "319-266-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W 6TH ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132859",
"telephone_number": "319-277-3166",
"fax_number": "319-266-4846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLASEK",
"first_name": "ISAIAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "108290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.