Lightning Rehabilitation & Fitness PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LIGHTNING REHABILITATION & FITNESS PLLC

Practice address

2280 Peoria Avenue
Spirit Lake, IA 51360

Phone

(319) 759-6620

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Tyler RogersNPI 1578254256

Title

Owner

Phone

(319) 759-6620

Specialties & licenses 1

Addresses

Other names 1

• Lightning Rehab & Fitness Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Rogers, PT, DPT

  • Physical Therapist
  • Spirit Lake, IA
  • NPI 1578254256
  Medicare reassignment Care Compare group NPD Authorized official
• Shaylen Riley Knapp

  • Physical Therapist
  • Spirit Lake, IA
  • NPI 1194659359
  Medicare reassignment Care Compare group NPD
• Kaitlyn Paige Rogers

  • Physical Therapist
  • Spirit Lake, IA
  • NPI 1467304618
  Medicare reassignment Care Compare group NPD
• Carson Roshone

  • Physical Therapist
  • Spirit Lake, IA
  • NPI 1467330233
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1720847452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 PEORIA AVENUE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "51360",
            "telephone_number": "319-759-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 PEORIA AVENUE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "51360",
            "telephone_number": "319-759-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTNING REHABILITATION & FITNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-759-6620"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lightning Rehab & Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakes Regional Healthcare
• Lakes Regional Healthcare
• Thomas Lambert, MD
• Brandy A Lancaster, DDS
• John Adrian Leupold, MD
• Emily E Lowery, RBT
• Luminosity Inc
• Mark Douglas Maeyaert, D.C.
• Denise Marie Magg, R.N.
• Laith Mohamed Mahdi, D.O.

• Physical Therapist in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.