Organization Active NPI

Shelby County Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Harlan, IA
National Provider Identifier
1821526377
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
084991 Issued in IA
Legal business name
SHELBY COUNTY PHYSICAL THERAPY, INC.
Doing business as
Shelby County Physical Therapy, Inc.
Practice address
2305 Chatburn Ave
Harlan, IA 51537-1855
Phone
(770) 317-2414
NPI assigned
May 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeremy J Arkfeld, PTNPI 1841238847
Title
PT/Owner
Phone
(770) 317-2414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 084991 IA Primary

Addresses

Primary practice location

2305 Chatburn Ave
Harlan, IA 51537-1855

Mailing address

2305 Chatburn Ave
Harlan, IA 51537-1855
Phone (770) 317-2414

Other names 1

  • Shelby County Physical Therapy, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171010001071 IA Part B Supplier - Clinic/Group Practice 5698040194 Receives reassigned benefits from 1 practitioner
Practice locations: Harlan, IA

National Provider Directory

National Provider Directory

Locations

2305 Chatburn Ave
Harlan, IA 51537
Phone (712) 733-8750

Practitioners & affiliated clinicians

Practitioners 1

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": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821526377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CHATBURN AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371855",
            "telephone_number": "770-317-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 CHATBURN AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371855",
            "telephone_number": "770-317-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ARKFELD",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "770-317-2414",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "084991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby County Physical Therapy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.