NPIMap

Organization Active NPI

Proactive Physical Therapy and Sports Rehab

  • Physical Therapist
  • Sheldon, IA
National Provider Identifier
1699068841
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02425 Issued in IA
Legal business name
PROACTIVE PHYSICAL THERAPY AND SPORTS REHAB
Practice address
301 10TH St
Ste C
Sheldon, IA 51201-1529
Phone
(712) 324-0110
Fax
(712) 324-0031
NPI assigned
May 20, 2011
Last updated
May 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Julie Arends, PTNPI 1396878310
Title
Owner
Phone
(712) 722-1902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 02425 IA Primary

Addresses

Primary practice location

301 10TH St
Ste C
Sheldon, IA 51201-1529

Mailing address

301 10TH St
Ste C
Sheldon, IA 51201-1529
Phone (712) 324-0110

National Provider Directory

National Provider Directory
Tax ID family
Proactive Physical Therapy and Sports Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 10th St
Ste C
Sheldon, IA 51201
Phone (712) 324-0110

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1699068841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 10TH ST",
            "address_2": "STE C",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011529",
            "telephone_number": "712-324-0110",
            "fax_number": "712-324-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 10TH ST",
            "address_2": "STE C",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011529",
            "telephone_number": "712-324-0110",
            "fax_number": "712-324-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PHYSICAL THERAPY AND SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "ARENDS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-722-1902",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheldon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.