Individual provider Active NPI

Caleen Marie Pagel, P.T.

  • Physical Therapist
  • Muscatine, IA
National Provider Identifier
1659308070
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00942 Issued in IA
Practice address
2109 Cedarwood Dr
Suite 100
Muscatine, IA 52761-2661
Phone
(563) 288-6787
Fax
(563) 288-6719
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00942 IA Primary

Addresses

Primary practice location

2109 Cedarwood Dr
Suite 100
Muscatine, IA 52761-2661

Mailing address

2130 4TH Ave
Muscatine, IA 52761-4609
Phone (563) 263-1566

Other identifiers 3

IdentifierTypeStateIssuer
49795OtherIAWELLMARK BC/BS
0263749MedicaidIA
650023544OtherIAMEDICARE RAILROAD

Other names 1

  • Ms. Caleen Marie Krohn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00942IAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659308070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 4TH AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527614609",
            "telephone_number": "563-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 CEDARWOOD DR",
            "address_2": "SUITE 100",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612661",
            "telephone_number": "563-288-6787",
            "fax_number": "563-288-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGEL",
        "first_name": "CALEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "00942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "49795",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263749",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "650023544",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALEEN",
            "last_name": "KROHN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.