NPIMap

Organization Active NPI

Physiocare Corporate Solutions

  • Public Health or Welfare Agency
  • Clear Lake, IA
National Provider Identifier
1629579131
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PHYSIOCARE CORPORATE SOLUTIONS
Practice address
419 Main Ave
Clear Lake, IA 50428-1809
Phone
(605) 670-2532
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Dr. Timothy Molencamp, DPTNPI 1679867287
Title
Director/Ceo
Phone
(605) 670-2532

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
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

419 Main Ave
Clear Lake, IA 50428-1809

Mailing address

1403 Willow St
Clear Lake, IA 50428-3745

Other names 1

  • PhysioCare Wellness Other name

National Provider Directory

National Provider Directory

Locations

419 Main Ave
Clear Lake, IA 50428
Phone (605) 670-2532

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1629579131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 WILLOW ST",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504283745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MAIN AVE",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281809",
            "telephone_number": "605-670-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOCARE CORPORATE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "MOLENCAMP",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "605-670-2532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioCare Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clear Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.