NPIMap

Organization Active NPI

Time of Your Life Therapy

Doing business as Time of Your Life Fitness and Physical Therapy

  • Physical Therapy Clinic/Center
  • Iowa City, IA
National Provider Identifier
1669600029
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
02217 Issued in IA
Legal business name
TIME OF YOUR LIFE THERAPY
Doing business as
Time of Your Life Fitness and Physical Therapy
Practice address
434 Highway 1 W
Iowa City, IA 52246-4204
Phone
(319) 354-3824
Fax
(319) 354-3826
NPI assigned
Jun 24, 2009
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Kristine Marie Mace, PTNPI 1508838194
Title
President
Phone
(319) 354-3824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 02217 IA Primary

Addresses

Primary practice location

434 Highway 1 W
Iowa City, IA 52246-4204

Mailing address

434 Highway 1 W
Iowa City, IA 52246-4204
Phone (319) 354-3824

Other names 1

  • Time of Your Life Fitness and Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1210 S Gilbert St
Ste 103
Iowa City, IA 52240
Phone (319) 354-3824

434 Highway 1 W
Iowa City, IA 52246
Phone (319) 354-3824

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1669600029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464204",
            "telephone_number": "319-354-3824",
            "fax_number": "319-354-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464204",
            "telephone_number": "319-354-3824",
            "fax_number": "319-354-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME OF YOUR LIFE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-354-3824",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "02217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Time of Your Life Fitness and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.