Active NPI
Jeff Reding
- Physical Therapy Clinic/Center
- Indianola, IA
National Provider Identifier
1699166900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 004865
- Practice address
- 302 N 18TH St
Indianola, IA 50125-9720 - Phone
- (515) 341-2486
- NPI assigned
- Feb 9, 2015
- Last updated
- Feb 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 004865 | IA | Primary |
| Physical Therapy Clinic/Center | 261QP2000X | 160.006573 | IL | |
| Physical Therapy Clinic/Center | 261QP2000X | 2099533 | TX |
Addresses
Primary practice location
302 N 18TH St
Indianola, IA 50125-9720
Mailing address
302 N 18TH Street
Indianola, IA 50125
Phone (515) 341-2486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004865 | IA | MD | Physical Therapy Clinic/Center |
| 160.006573 | IL | MD | Physical Therapy Clinic/Center |
| 2099533 | TX | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1699166900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N 18TH STREET",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "50125",
"telephone_number": "515-341-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N 18TH ST",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501259720",
"telephone_number": "515-341-2486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDING",
"first_name": "JEFF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IA",
"license": "004865",
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IL",
"license": "160.006573",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": "2099533",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.