Rock Valley Physical Therapy Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ROCK VALLEY PHYSICAL THERAPY CENTER

Practice address

1905 Ingersoll
Suite 104
Des Moines, IA 50309-3305

Phone

(515) 369-2306

Fax

(515) 369-2307

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Randy E Boldt, P.T.

Title

Cfo

Phone

(309) 743-2070

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1891005252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVENUE",
            "address_2": "SUITE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 INGERSOLL",
            "address_2": "SUITE 104",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093305",
            "telephone_number": "515-369-2306",
            "fax_number": "515-369-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK VALLEY PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "BOLDT",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-743-2070",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0565937",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Robison
• Richard S Robus, MD
• Keimara Roby
• Sarita Roby, LMSW
• Rock Valley Physical Therapy Center
• Crosby Rock
• Stockton Rock, MD
• Martha Rockwell
• Rocky Mountain Holdings, LLC
• Rocky Mountain Holdings, LLC

• Physical Therapist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.