Active NPI
David E Reese, III, P.T.
- Physical Medicine & Rehabilitation Physician
- North Liberty, IA
National Provider Identifier
1730107137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 02941
- Practice address
- 455 Pebble St
North Liberty, IA 52317-9455 - Phone
- (319) 665-2992
- NPI assigned
- Jul 17, 2006
- 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 Medicine & Rehabilitation Physician | 208100000X | 02941 | IA | Primary |
Addresses
Primary practice location
455 Pebble St
North Liberty, IA 52317-9455
Mailing address
455 Pebble St
North Liberty, IA 52317-9455
Phone (319) 665-2992
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00064241 | Other | IA | RAILROAD MEDICARE |
| 44321 | Other | IA | WELLMARK BCBS |
| 0429019 | Medicaid | IA | |
| F232553 | Other | IA | MIDLANDS CHOICE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02941 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Therapies, PC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Coralville, IA
- NPI 1831122837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1730107137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 PEBBLE ST",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179455",
"telephone_number": "319-665-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 PEBBLE ST",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179455",
"telephone_number": "319-665-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE,",
"first_name": "DAVID",
"middle_name": "E",
"name_suffix": "III",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IA",
"license": "02941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00064241",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "44321",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0429019",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "F232553",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.