Organization Active NPI

Home Team Wellness and Recovery, LLC

  • Physical Therapist
  • Ames, IA
National Provider Identifier
1700412848
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOME TEAM WELLNESS AND RECOVERY, LLC
Practice address
2721 Stange Rd Ste 108
Ames, IA 50010-3978
Phone
(515) 207-0172
NPI assigned
Mar 20, 2020
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Megan Maureen Burt, PT, DPTNPI 1316310451
Title
Provider
Phone
(515) 207-0172

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2721 Stange Rd Ste 108
Ames, IA 50010-3978

Mailing address

3038 Redbud Cir
Ames, IA 50014-4518
Phone (515) 708-4940

Other practice location 1

2105 Country Club Blvd
Ames, IA 50014-7014
Phone (952) 913-6731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230816004062 IA Part B Supplier - Clinic/Group Practice 4981066362 Receives reassigned benefits from 2 practitioners
Practice locations: Ames, IA

National Provider Directory

National Provider Directory

Locations

2721 Stange Rd
Ste 108
Ames, IA 50010
Phone (515) 207-0172

300 S 17th St
Unit 201
Ames, IA 50010
Phone (515) 293-0172

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1700412848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 REDBUD CIR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500144518",
            "telephone_number": "515-708-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 STANGE RD STE 108",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103978",
            "telephone_number": "515-207-0172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Country Club Blvd",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500147014",
            "country_code": "US",
            "telephone_number": "952-913-6731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOME TEAM WELLNESS AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "515-207-0172",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.