NPIMap

Organization Active NPI

Unified Therapy Services, Inc

  • Physical Therapist
  • Dubuque, IA
National Provider Identifier
1619064086
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03142 Issued in IA
Legal business name
UNIFIED THERAPY SERVICES, INC
Practice address
4121 Pennsylvania Ave
Dubuque, IA 52002-2628
Phone
(563) 583-4003
Fax
(563) 583-4737
NPI assigned
Oct 6, 2006
Last updated
Jun 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Kelly Ann Heysinger, DPTNPI 1649365800
Title
Physical Therapist/Co-Owner
Phone
(563) 583-4003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03142 IA Primary

Addresses

Primary practice location

4121 Pennsylvania Ave
Dubuque, IA 52002-2628

Mailing address

4121 Pennsylvania Ave
Dubuque, IA 52002-2628
Phone (563) 583-4003

Other identifiers 1

IdentifierTypeStateIssuer
0665950MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060420000121 IA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7618985714 Practice locations: Dubuque, IA; Waverly, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619064086. Details of each certification follow.

  • CCN 166595 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 166595

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UNIFIED THERAPY SERVICES
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 2, 2006
Last certification
Jul 23, 2024
Ownership / control type
Proprietary
Facility address
4121 Pennsylvania Avenue
Dubuque, IA 52002

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1690 Elm St
Ste 230
Dubuque, IA 52001
Phone (563) 583-4003

4121 Pennsylvania Ave
Dubuque, IA 52002
Phone (563) 583-4003

Practitioners & affiliated clinicians

Practitioners 143

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 143

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1619064086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 PENNSYLVANIA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022628",
            "telephone_number": "563-583-4003",
            "fax_number": "563-583-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 PENNSYLVANIA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022628",
            "telephone_number": "563-583-4003",
            "fax_number": "563-583-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "HEYSINGER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CO-OWNER",
        "authorized_official_telephone_number": "563-583-4003",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665950",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.