NPIMap

Organization Active NPI

Match Play Tennis Centers, Inc.

Doing business as Rec Center Physical Therapy

  • Physical Therapy Clinic/Center
  • Cedar Rapids, IA
National Provider Identifier
1760540926
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
NA Issued in NU
Legal business name
MATCH PLAY TENNIS CENTERS, INC.
Doing business as
Rec Center Physical Therapy
Practice address
400 Collins Rd NE
BLDG 154-100
Cedar Rapids, IA 52498-0001
Phone
(319) 295-8899
Fax
(319) 295-8833
NPI assigned
Dec 4, 2006
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Pamela W Fox
Title
Manager
Phone
(319) 295-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NA NU Primary

Addresses

Primary practice location

400 Collins Rd NE
BLDG 154-100
Cedar Rapids, IA 52498-0001

Mailing address

400 Collins Rd NE
BLDG 154-100
Cedar Rapids, IA 52498-0001
Phone (319) 295-8899

Other identifiers 4

IdentifierTypeStateIssuer
5747352OtherIAFIRST HEALTH GROUP NUMBER
37850OtherIAWELLMARK GROUP NUMBER
F245873OtherIAMIDLANDS CHOICE ID NUMBER
1066154OtherIAUSAMCO GROUP NUMBER

Other names 1

  • Rec Center Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050217000697 IA Part B Supplier - Clinic/Group Practice 0042262008 Receives reassigned benefits from 13 practitioners
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Locations

400 Collins Rd NE
#154
Cedar Rapids, IA 52498
Phone (319) 295-8899

400 Collins Rd NE
#154100
Cedar Rapids, IA 52498
Phone (319) 295-8899

400 Collins Rd NE
Bldg 154100
Cedar Rapids, IA 52498
Phone (319) 295-8899

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1760540926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COLLINS RD NE",
            "address_2": "BLDG 154-100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524980001",
            "telephone_number": "319-295-8899",
            "fax_number": "319-295-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COLLINS RD NE",
            "address_2": "BLDG 154-100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524980001",
            "telephone_number": "319-295-8899",
            "fax_number": "319-295-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATCH PLAY TENNIS CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-295-8899"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH GROUP NUMBER",
            "identifier": "5747352",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK GROUP NUMBER",
            "identifier": "37850",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE ID NUMBER",
            "identifier": "F245873",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USAMCO GROUP NUMBER",
            "identifier": "1066154",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rec Center Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rec Center Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.