Organization Active NPI

Dubuque Physical Therapy P.C.

  • Physical Therapist
  • Dubuque, IA
National Provider Identifier
1861523326
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
U3051 Issued in IA
Legal business name
DUBUQUE PHYSICAL THERAPY P.C.
Practice address
4005 Westmark Dr
Suite 320
Dubuque, IA 52002-2271
Phone
(563) 588-3891
Fax
(563) 588-3893
NPI assigned
Mar 8, 2007
Last updated
Aug 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Mr. Melvin Harvey, P.T.NPI 1669411922
Title
President
Phone
(563) 588-3891

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 U3051 IA Primary

Addresses

Primary practice location

4005 Westmark Dr
Suite 320
Dubuque, IA 52002-2271

Mailing address

4005 Westmark Dr
Suite 320
Dubuque, IA 52002-2271
Phone (563) 588-3891

Other identifiers 6

IdentifierTypeStateIssuer
1750320016OtherIANPI JASON MEYER
25550OtherIAGROUP BCBS NUMBER
0129189MedicaidIA
1669411922OtherIANPI MEL HARVEY
1174699128OtherIANPI WILLIAM O'DELL
1114972775OtherIANPI JASON PUTZ

National Provider Directory

National Provider Directory

Locations

4005 Westmark Dr
Ste 100
Dubuque, IA 52002
Phone (319) 588-3891

Practitioners & affiliated clinicians

Practitioners 2

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1861523326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 WESTMARK DR",
            "address_2": "SUITE 320",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022271",
            "telephone_number": "563-588-3891",
            "fax_number": "563-588-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WESTMARK DR",
            "address_2": "SUITE 320",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022271",
            "telephone_number": "563-588-3891",
            "fax_number": "563-588-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-588-3891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "U3051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  JASON MEYER",
            "identifier": "1750320016",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS NUMBER",
            "identifier": "25550",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129189",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  MEL HARVEY",
            "identifier": "1669411922",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  WILLIAM O'DELL",
            "identifier": "1174699128",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  JASON PUTZ",
            "identifier": "1114972775",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.