Organization Active NPI

Nerve Center of Iowa, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Clive, IA
National Provider Identifier
1679477822
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0142384MedicaidIA

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.

Verify at the official NPI Registry.