David S Freeseman, PT
Individual provider Active NPI Physical Therapist · West Des Moines, IA
NPI 1790792067 · NPPES record last updated Apr 11, 2012
Key facts
- NPI
- 1790792067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 02976 (IA)
- Practice address
- 5700 University Ave Ste 222
West Des Moines, IA 50266-8276 - Phone
- (515) 221-1621
- Fax
- (515) 221-1626
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rock Valley Physical Therapy Center
Practice addresses (Care Compare)
5700 University Ave
Suite 222
West Des Moines, IA 50266-8276
Phone (309) 743-2070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061025000393 | IA | Practitioner - Physical Therapist in Private Practice | 2062419534 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02976 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Valley Physical Therapy Center | Physical Therapist | Current |
Accepting new patients |
| Rock Valley Physical Therapy Center | Physical Therapist | Current |
Accepting new patients |
| Stadia Sports Medicine PC | Physical Therapist | Current |
Accepting new patients |
Locations
1705 N Ankeny Blvd
Ste A
Ankeny, IA 50023
Phone (515) 446-0733
1427 S Washington Blvd
Camanche, IA 52730
Phone (563) 259-4440
2635 Lincoln Way
Ste C
Clinton, IA 52732
Phone (563) 243-8321
1905 Ingersoll Ave
Ste 104
Des Moines, IA 50309
Phone (515) 369-2306
3414 Northport Dr
Ste 2
Muscatine, IA 52761
Phone (563) 263-2639
419 W Bridge Rd
Ste A
Polk City, IA 50226
Phone (515) 984-6377
6000 University Ave
Ste 250
West Des Moines, IA 50266
Phone (515) 221-1102
5700 University Ave
Ste 222
West Des Moines, IA 50266
Phone (309) 743-2070
850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02976 | IA | Yes |
Addresses
Primary practice location
5700 University Ave Ste 222
West Des Moines, IA 50266-8276
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02976 | Other | IA | IOWA PT LICENSE NO |
Other providers in West Des Moines, IA
- Freedom Medical Equipment
- Anthony Freeman
- Ashley H. Freeman
- Blake Edward Freeman
- Shawna Marie Freeman
- Taylor Marie Freeseman
- Wendi French
- Hannah Elizabeth Frerichs
- Aubrey Frette
- Jenna Frieden
All providers in West Des Moines, IA · Physical Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.