Active NPI
Mitzi Buck, DPT
- Physical Therapist
- Des Moines, IA
National Provider Identifier
1811958879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03827
- Practice address
- 1050 E Army Post Road
Suite E & F
Des Moines, IA 50315 - Phone
- (515) 953-5817
- Fax
- (515) 953-1085
- NPI assigned
- Mar 30, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03827 | IA | Primary |
| Physical Therapist | 225100000X | 49201552401 | UT |
Addresses
Primary practice location
1050 E Army Post Road
Suite E & F
Des Moines, IA 50315
Mailing address
8602 Westown Parkway
#1701
West Des Moines, IA 50266
Phone (515) 987-6747
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665737 | Medicaid | IA | |
| 49201552401 | Other | UT | STATE LICENSE |
| 03827 | Other | IA | STATE LICENSE |
| 04285 | Other | IA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03827 | IA | MD | Physical Therapist |
| 49201552401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Des Moines Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Des Moines, IA
- NPI 1568477099
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811958879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8602 WESTOWN PARKWAY",
"address_2": "#1701",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50266",
"telephone_number": "515-987-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E ARMY POST ROAD",
"address_2": "SUITE E & F",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50315",
"telephone_number": "515-953-5817",
"fax_number": "515-953-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "MITZI",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03827",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "49201552401",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665737",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "49201552401",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "03827",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04285",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.