Individual provider Active NPI

David Kent Reeves, PT

  • Physical Therapist
  • Amana, IA
National Provider Identifier
1720149149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1306 Issued in IA
Practice address
3207 220TH TRL
Amana, IA 52203-8206
Phone
(319) 622-3131
Fax
(319) 622-6458
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1306 IA Primary

Addresses

Primary practice location

3207 220TH TRL
Amana, IA 52203-8206

Mailing address

3207 220TH TRL
Amana, IA 52203-8206
Phone (319) 622-3131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000768 IA Practitioner - Physical Therapist in Private Practice 9931017274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Rehab Center PCGroup PAC ID 8820190069, 8 clinicians

Practice addresses (Care Compare)

4205 Glass Rd NE
Cedar Rapids, IA 52402-2514
Phone (319) 294-0094

Merit-based Incentive Payment System (MIPS)

Final score
85.32 of 100Reported as group
Quality
84.32
Improvement activities
40
Cost
71.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1306IAMDPhysical Therapist
01306IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Rehab Center PC CurrentSince Oct 9, 2017 Accepting new patients
Eastern Iowa Therapeutics PC Physical Therapist Past Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients

Locations

4205 Glass Rd NE
Cedar Rapids, IA 52402
Phone (319) 294-0094

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72613

Organizations & group practices 3

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720149149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 220TH TRL",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038206",
            "telephone_number": "319-622-3131",
            "fax_number": "319-622-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 220TH TRL",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038206",
            "telephone_number": "319-622-3131",
            "fax_number": "319-622-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "DAVID",
        "middle_name": "KENT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "1306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amana, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.