Organization Active NPI

Wapsi Physical Therapy Inc

  • Physical Therapist
  • Anamosa, IA
National Provider Identifier
1841278090
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02882 Issued in IA
Legal business name
WAPSI PHYSICAL THERAPY INC
Practice address
315 E Main St
Anamosa, IA 52205-1807
Phone
(319) 462-6882
Fax
(319) 462-4167
NPI assigned
Jan 7, 2006
Last updated
Nov 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Sally Ann Meyer, MPTNPI 1750369740
Title
Owner
Phone
(319) 462-6882

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 Therapist 225100000X 02882 IA Primary

Addresses

Primary practice location

315 E Main St
Anamosa, IA 52205-1807

Mailing address

315 E Main St
Anamosa, IA 52205-1807
Phone (319) 462-6882

Other identifiers 3

IdentifierTypeStateIssuer
1418806MedicaidIA
F242202OtherIAMIDLANDS CHOICE
35211OtherIAWELLMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150706002265 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012907983 Receives reassigned benefits from 2 practitioners
Practice locations: Anamosa, IA

National Provider Directory

National Provider Directory

Locations

110 S Williams St
Anamosa, IA 52205
Phone (319) 462-4327

Practitioners & affiliated clinicians

Practitioners 4

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": "1136592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1841278090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E MAIN ST",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522051807",
            "telephone_number": "319-462-6882",
            "fax_number": "319-462-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E MAIN ST",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522051807",
            "telephone_number": "319-462-6882",
            "fax_number": "319-462-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAPSI PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-07",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-462-6882",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1418806",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F242202",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "35211",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anamosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.