Active NPI
Nerve Center of Iowa, P.C.
- Physical Medicine & Rehabilitation Physician
- Clive, IA
National Provider Identifier
1679477822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- NERVE CENTER OF IOWA, P.C.
- Practice address
- 1370 NW 114TH St Ste 205
Clive, IA 50325-7011 - Phone
- (515) 612-1200
- Fax
- (515) 347-8849
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- 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
- Logan McCool, DO
- Title
- Ceo
- Phone
- (515) 612-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
1370 NW 114TH St Ste 205
Clive, IA 50325-7011
Mailing address
1370 NW 114TH St Ste 205
Clive, IA 50325-7011
Phone (515) 612-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0142384 | Medicaid | IA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1679477822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 NW 114TH ST STE 205",
"city": "CLIVE",
"state": "IA",
"postal_code": "503257011",
"telephone_number": "515-612-1200",
"fax_number": "515-347-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 NW 114TH ST STE 205",
"city": "CLIVE",
"state": "IA",
"postal_code": "503257011",
"telephone_number": "515-612-1200",
"fax_number": "515-347-8849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NERVE CENTER OF IOWA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "MCCOOL",
"authorized_official_first_name": "LOGAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "515-612-1200",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0142384",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.