Enhance Performance Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENHANCE PERFORMANCE THERAPY, LLC

Practice address

214 W Van Dorn St
Polk City, IA 50226-2290

Phone

(970) 580-8190

NPI assigned

Oct 9, 2019

Organization subpart

No

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

Authorized official

Name

Kassandra J Schuppe, PT, DPT, CSMTNPI 1346653060

Title

President

Phone

(970) 580-8190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kassandra Schuppe, PT, DPT

  • Physical Therapist
  • Des Moines, IA
  • NPI 1346653060
  NPD Authorized official

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1629610845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 E PORTER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503204718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W VAN DORN ST",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502262290",
            "telephone_number": "970-580-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE PERFORMANCE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "SCHUPPE",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-580-8190",
        "authorized_official_credential": "PT, DPT, CSMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Detmering, R.N.
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• Molly M Egeberg, LMT
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• Crystal Feldman, RN
• Traci Ann Friedman, OD
• George T. Kappos, MD
• Guardian Care of Iowa,Inc

• Physical Therapist in Polk City, IA
• Providers in Polk City, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.