NPIMap

Organization Active NPI

Agape Therapy Clinic PC

Doing business as Agape Therapy

  • Physical Therapist
  • Cedar Falls, IA
National Provider Identifier
1780687939
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AGAPE THERAPY CLINIC PC
Doing business as
Agape Therapy
Practice address
211 W 6TH St
Cedar Falls, IA 50613-2859
Phone
(319) 277-3166
Fax
(319) 266-4846
NPI assigned
May 23, 2005
Last updated
Mar 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Ms. Joan Truex
Title
Business Manager
Phone
(319) 277-3166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

211 W 6TH St
Cedar Falls, IA 50613-2859

Mailing address

211 W 6TH St
Cedar Falls, IA 50613-2859
Phone (319) 277-3166

Other identifiers 1

IdentifierTypeStateIssuer
139650800OtherIAU.S. DEPTARTMENT OF LABOR

Other names 1

  • Agape Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160912001974 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486659851 Receives reassigned benefits from 12 practitioners
Practice locations: Waterloo, IA; Reinbeck, IA; Cedar Falls, IA; Dike, IA

National Provider Directory

National Provider Directory

Locations

211 W 6th St
Cedar Falls, IA 50613
Phone (319) 277-3166

4507 Algonquin Dr
Cedar Falls, IA 50613
Phone (319) 277-3166

924 Viking Rd
Cedar Falls, IA 50613

924 Viking Rd
Ste 101
Cedar Falls, IA 50613
Phone (319) 260-2240

405 Jefferson St
Waterloo, IA 50701
Phone (319) 833-9333

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1780687939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 6TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132859",
            "telephone_number": "319-277-3166",
            "fax_number": "319-266-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 6TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132859",
            "telephone_number": "319-277-3166",
            "fax_number": "319-266-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE THERAPY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "TRUEX",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "319-277-3166",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPTARTMENT OF LABOR",
            "identifier": "139650800",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.