Active NPI
Dennis Lee Runyan
- Physical Therapist
- Guthrie Center, IA
National Provider Identifier
1710291273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1128
- Practice address
- 2400 Poplar Ave
Guthrie Center, IA 50115-8878 - Phone
- (641) 747-3225
- Fax
- (641) 747-3045
- NPI assigned
- Jul 27, 2010
- Last updated
- Jul 27, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1128 | IA | Primary |
Addresses
Primary practice location
2400 Poplar Ave
Guthrie Center, IA 50115-8878
Mailing address
2400 Poplar Ave
Guthrie Center, IA 50115-8878
Phone (641) 747-3225
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 |
|---|---|---|---|
| 1128 | IA | MD | Physical Therapist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1710291273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 POPLAR AVE",
"city": "GUTHRIE CENTER",
"state": "IA",
"postal_code": "501158878",
"telephone_number": "641-747-3225",
"fax_number": "641-747-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 POPLAR AVE",
"city": "GUTHRIE CENTER",
"state": "IA",
"postal_code": "501158878",
"telephone_number": "641-747-3225",
"fax_number": "641-747-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNYAN",
"first_name": "DENNIS",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "1128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guthrie Center, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.