Individual provider Active NPI

Stacey Alberts Ann Alberts, PT

  • Physical Therapist
  • Grinnell, IA
National Provider Identifier
1659446953
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3382 Issued in IA
Practice address
234 West St S
Southview Plaza Suite #4
Grinnell, IA 50112-8160
Phone
(641) 236-4506
Fax
(641) 236-4316
NPI assigned
Nov 21, 2006
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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 3382 IA Primary

Addresses

Primary practice location

234 West St S
Southview Plaza Suite #4
Grinnell, IA 50112-8160

Mailing address

234 West St S
Southview Plaza Suite #4
Grinnell, IA 50112-8160
Phone (641) 236-4506

Other identifiers 3

IdentifierTypeStateIssuer
0461624MedicaidIA
38554OtherIAWELLMARK BCBS
61777600OtherIADEPT OF LABOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000547 IA Practitioner - Physical Therapist in Private Practice 5193762136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

234 W St S
Unit 4
Grinnell, IA 50112-8160
Phone (641) 236-4506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab-Orthopedic & Sports Specialists, P.C. CurrentSince May 1, 2005 Accepting new patients
Total Rehab-Orthopedic and Sports Specialist, P.C. Physical Therapist CurrentSince May 1, 2005 Accepting new patients

Locations

234 West St S
Unit 4
Grinnell, IA 50112
Phone (641) 236-4506

507 Court St
Williamsburg, IA 52361
Phone (319) 668-9453

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1659446953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WEST ST S",
            "address_2": "SOUTHVIEW PLAZA SUITE #4",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501128160",
            "telephone_number": "641-236-4506",
            "fax_number": "641-236-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WEST ST S",
            "address_2": "SOUTHVIEW PLAZA SUITE #4",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501128160",
            "telephone_number": "641-236-4506",
            "fax_number": "641-236-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTS",
        "first_name": "STACEY ALBERTS",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "3382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461624",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "38554",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "61777600",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.