John S Haveman, MPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02587 Issued in IA

Practice address

110 16TH St SW
Sioux Center, IA 51250-2944

Phone

(712) 722-1902

Fax

(712) 722-1905

NPI assigned

Mar 13, 2007

Last updated

Sep 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• J Steve Haveman Other name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Physical Therapy and Sports Rehab, IncGroup PAC ID 4587762406, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proactive Physical Therapy & Sports Rehab, Inc

  • Physical Therapist
  • Sioux Center, IA
  • NPI 1487773602
  Medicare reassignment Care Compare group NPD
• Proactive Physical Therapy and Sports Rehab

  • Physical Therapist
  • Sheldon, IA
  • NPI 1699068841
  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1790818706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 16TH ST SW",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512502944",
            "telephone_number": "712-722-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 16TH ST SW",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512502944",
            "telephone_number": "712-722-1902",
            "fax_number": "712-722-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEMAN",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "HAVEMAN",
            "middle_name": "STEVE",
            "credential": "MPT, ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Greater Sioux Community Health Center, Inc (Promise CHC Kinsey Elementary)
• Logan Halls, MAT, ATC
• Caleb Jay Harmsen, PT, DPT
• Karsyn Harmsen, DC
• Jeannette Lee Hasley, ARNP, CNM
• Sarah Marie Hawley, BCBA
• Laura Ann Herman, P.T.
• Chasady Hernandez
• Sarah Hietbrink, ARNP
• Hinsch Health & Wellness PLLC

• Physical Therapist in Sioux Center, IA
• Providers in Sioux Center, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.