Individual provider Active NPI

Sandra Lee Norby, PT

  • Physical Therapist
  • Lemars, IA
National Provider Identifier
1679573158
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1596 Issued in IA
Practice address
789 Holton Drive
Lemars, IA 51031-9237
Phone
(712) 251-5614
NPI assigned
Jul 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1596 IA Primary
Physical Therapist 225100000X 1076 SD

Addresses

Primary practice location

789 Holton Drive
Lemars, IA 51031-9237

Mailing address

31884 Highway 3
Le Mars, IA 51031-9237
Phone (712) 546-6399

Other identifiers 2

IdentifierTypeStateIssuer
5832640MedicaidSD
421480644-34MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210001056 IA Practitioner - Physical Therapist in Private Practice 8224931886 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1076SDMDChiropractor
1596IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Physical Therapy Holding Company, LLC Physical Therapist CurrentSince Jul 1, 2013 Accepting new patients
Le Mars Physical Therapy Physical Therapist CurrentSince Jun 2, 2008 Accepting new patients
Hometown Physical Therapy Holding Company LLC Physical Therapist CurrentSince Jul 1, 2013 Accepting new patients
Lisa Stutzman Physical Therapy PC Physical Therapist CurrentSince Dec 19, 2014 Accepting new patients
Lake Mills Physical Therapy LLC Physical Therapist CurrentSince Dec 19, 2014 Accepting new patients
Hometown Physical Therapy Holding Company LLC Physical Therapist Current Accepting new patients
Lemars Physical Therapy, PLLC PastSince Jun 2, 2008 Accepting new patients

Locations

612 S Highway 71
Unit 2
Arnolds Park, IA 51331
Phone (712) 336-8404

325 E 5th St
Des Moines, IA 50309
Phone (515) 335-4928

115 N Mill St
Lake Mills, IA 50450
Phone (641) 592-3500

789 Holton Dr
Le Mars, IA 51031
Phone (712) 546-1718

241 12th St SE
Le Mars, IA 51031
Phone (712) 546-1718

20 W 6th St
Ste 101
Spencer, IA 51301
Phone (712) 580-5008

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1679573158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31884 HIGHWAY 3",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510319237",
            "telephone_number": "712-546-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 HOLTON DRIVE",
            "city": "LEMARS",
            "state": "IA",
            "postal_code": "510319237",
            "telephone_number": "712-251-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBY",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "1596",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1076",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5832640",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421480644-34",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.

Verify at the official NPI Registry.