Active NPI
Community Rehab of Iowa, LLC
Doing business as Community Rehab
- Physical Therapist
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- COMMUNITY REHAB OF IOWA, LLC
- Doing business as
- Community Rehab
- Practice address
- 1600 7TH St
Sioux City, IA 51101-2016 - Phone
- (712) 277-0507
- Fax
- (712) 277-0456
- NPI assigned
- Jun 10, 2009
- Last updated
- Jul 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary J Theiler, MPT
- Title
- Owner/Physical Therapist
- Phone
- (402) 721-3908
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1600 7TH St
Sioux City, IA 51101-2016
Mailing address
1600 7TH St
Sioux City, IA 51101-2016
Phone (712) 277-0507
Other names 1
- Community Rehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070130000335 | IA | Part B Supplier - Clinic/Group Practice | 9830190131 |
Receives reassigned benefits from 18 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Urbandale, IA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba ATI Physical Therapy
- Physical Therapist
- Sioux City, IA
- NPI 1780751149
O20070130000335
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba ATI Physical Therapy
- Physical Therapist
- Chicago, IL
- NPI 1205924354
Member Of
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Forest Hill, MD
- NPI 1013109099
Member Of
Locations
1600 7th St
Sioux City, IA 51101
Phone (712) 277-0507
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Fremont, NE
- NPI 1497737712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247529600000",
"number": "1669609194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 7TH ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511012016",
"telephone_number": "712-277-0507",
"fax_number": "712-277-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 7TH ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511012016",
"telephone_number": "712-277-0507",
"fax_number": "712-277-0456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY REHAB OF IOWA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-10",
"last_updated": "2009-07-14",
"status": "A",
"authorized_official_last_name": "THEILER",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "402-721-3908",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.