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Core Physical Therapy Inc

Organization Active NPI Physical Therapist · West Des Moines, IA

NPI 1609820133 · NPPES record last updated Feb 3, 2025

Key facts

NPI
1609820133
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
CORE PHYSICAL THERAPY INC
Practice address
1200 Valley West Dr Ste 300
West Des Moines, IA 50266-1904
Phone
(515) 440-3439
Fax
(515) 440-3832
NPI assigned
May 20, 2006
Organization subpart
Yes
Parent organization (as reported)
CORE PHYSICAL THERAPY INC

Authorized official

Name
Kathleen Woolcott
Title
Office Manager/Billing Director
Phone
(515) 440-3439

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060223000621 IA Part B Supplier - Clinic/Group Practice 8123034436 Receives reassigned benefits from 17 practitioners
Practice locations: West Des Moines, IA; Adel, IA

National Provider Directory

Tax ID family
Adel Physical Therapy Inc (2 organizations share this tax ID)
Part of
Adel Physical Therapy Inc

Locations

516 Nile Kinnick Dr S
Ste B
Adel, IA 50003
Phone (515) 478-7171

102 S 7th St
Adel, IA 50003
Phone (515) 993-5599

2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265
Phone (515) 223-8622

1454 30th St
Ste 109
West Des Moines, IA 50266
Phone (515) 327-0046

1200 Valley West Dr
Ste 300
West Des Moines, IA 50266
Phone (515) 440-3439

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X IA
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X IA

Addresses

Primary practice location

1200 Valley West Dr Ste 300
West Des Moines, IA 50266-1904

Mailing address

1200 Valley West Dr Ste 300
West Des Moines, IA 50266-1904
Phone (515) 440-3439

Other practice location 1

803 Cottage St
Adel, IA 50003-2033
Phone (515) 993-5599

Other identifiers

IdentifierTypeStateIssuer
0483784MedicaidIA

Other names

  • Adel Physical Therapy Inc Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2025.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1609820133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 300",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661904",
            "telephone_number": "515-440-3439",
            "fax_number": "515-440-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 300",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661904",
            "telephone_number": "515-440-3439",
            "fax_number": "515-440-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Cottage St",
            "address_purpose": "LOCATION",
            "city": "Adel",
            "state": "IA",
            "postal_code": "500032033",
            "country_code": "US",
            "telephone_number": "515-993-5599",
            "fax_number": "515-993-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORE PHYSICAL THERAPY INC",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "WOOLCOTT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING DIRECTOR",
        "authorized_official_telephone_number": "515-440-3439"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483784",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adel Physical Therapy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Des Moines, IA

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Sources for this page

Verify at the official NPI Registry.