Organization Active NPI

Woltz Physical Therapy PC

  • Physical Therapist
  • Waverly, IA
National Provider Identifier
1760455166
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WOLTZ PHYSICAL THERAPY PC
Practice address
413 W Bremer Ave
Waverly, IA 50677-3145
Phone
(319) 352-0102
Fax
(319) 352-0104
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Jon Woltz, PTNPI 1508837923
Title
Physical Therapist
Phone
(319) 352-0102

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

413 W Bremer Ave
Waverly, IA 50677-3145

Mailing address

413 W Bremer Ave
Waverly, IA 50677-3145
Phone (319) 352-0102

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1760455166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W BREMER AVE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773145",
            "telephone_number": "319-352-0102",
            "fax_number": "319-352-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W BREMER AVE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773145",
            "telephone_number": "319-352-0102",
            "fax_number": "319-352-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLTZ PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "WOLTZ",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "319-352-0102",
        "authorized_official_credential": "PT"
    },
    "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 Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.