Organization Active NPI

A Step Ahead Therapy Center, Inc.

  • Specialist
  • Waterloo, IA
National Provider Identifier
1881656734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
02547 Issued in IA
Legal business name
A STEP AHEAD THERAPY CENTER, INC.
Practice address
3606 Kimball Ave
Waterloo, IA 50702-5731
Phone
(319) 234-3736
Fax
(319) 234-0401
NPI assigned
Apr 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aleca Bartling
Title
Billing Manager
Phone
(319) 234-3736

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 02547 IA Primary
Specialist 174400000X 03011 IA

Addresses

Primary practice location

3606 Kimball Ave
Waterloo, IA 50702-5731

Mailing address

3606 Kimball Ave
Waterloo, IA 50702-5731
Phone (319) 234-3736

Other identifiers 6

IdentifierTypeStateIssuer
0415612MedicaidIA
35402OtherIAWELLMARK OF IOWA
0415620MedicaidIA
0415638MedicaidIA
35403OtherIAWELLMARK INDIVIDUAL NUMBE
35404OtherIAWELLMARK INDIVIDUAL NUMBE

National Provider Directory

National Provider Directory

Locations

3606 Kimball Ave
Waterloo, IA 50702
Phone (319) 234-3736

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": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881656734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025731",
            "telephone_number": "319-234-3736",
            "fax_number": "319-234-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025731",
            "telephone_number": "319-234-3736",
            "fax_number": "319-234-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A STEP AHEAD THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTLING",
        "authorized_official_first_name": "ALECA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "319-234-3736"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "02547",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "03011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415612",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK OF IOWA",
            "identifier": "35402",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415620",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415638",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INDIVIDUAL NUMBE",
            "identifier": "35403",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INDIVIDUAL NUMBE",
            "identifier": "35404",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.