Organization Active NPI

Care Advantage Rehabilitation and Ergonomics Inc

  • Physical Therapist
  • Iowa City, IA
National Provider Identifier
1780708032
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01519 Issued in IA
Legal business name
CARE ADVANTAGE REHABILITATION AND ERGONOMICS INC
Practice address
1705 S 1St Ave Ste C
Iowa City, IA 52240-6037
Phone
(319) 337-8818
Fax
(319) 337-8308
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Mr. Michael Richard Lanaghan, PT
Title
Owner
Phone
(319) 337-8818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 01519 IA Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 00426 IA

Addresses

Primary practice location

1705 S 1St Ave Ste C
Iowa City, IA 52240-6037

Mailing address

1705 S 1St Ave Ste C
Iowa City, IA 52240-6037
Phone (319) 337-8818

Other identifiers 1

IdentifierTypeStateIssuer
0278952MedicaidIA

National Provider Directory

National Provider Directory

Locations

1705 S 1st Ave
Ste C
Iowa City, IA 52240
Phone (319) 337-8818

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1780708032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 S 1ST AVE STE C",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406037",
            "telephone_number": "319-337-8818",
            "fax_number": "319-337-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S 1ST AVE STE C",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406037",
            "telephone_number": "319-337-8818",
            "fax_number": "319-337-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ADVANTAGE REHABILITATION AND ERGONOMICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "LANAGHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-337-8818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01519",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "00426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278952",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.