Active NPI
Rachel Kongshaug
- Pediatric Physical Therapist
- Coralville, IA
National Provider Identifier
1881757664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 6196
- Practice address
- 2350 Oakdale Blvd
Coralville, IA 52241-9702 - Phone
- (319) 351-5437
- Fax
- (319) 351-5432
- NPI assigned
- Dec 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 6196 | AZ | Primary |
Addresses
Primary practice location
2350 Oakdale Blvd
Coralville, IA 52241-9702
Mailing address
2350 Oakdale Blvd
Coralville, IA 52241-9702
Phone (319) 351-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Cedar St
Norwalk, IA 50211-9736
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab PT Ia PLLC | Pediatrics | Current | Accepting new patients |
| Childserve Therapy, Inc. | Pediatrics | Past | Accepting new patients |
| The Childserve Clinic Inc | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Johnston, IA
- NPI 1033449145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1881757664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 OAKDALE BLVD",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522419702",
"telephone_number": "319-351-5437",
"fax_number": "319-351-5432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 OAKDALE BLVD",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522419702",
"telephone_number": "319-351-5437",
"fax_number": "319-351-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONGSHAUG",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "6196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.