Amanda Lynn Bizub, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

076196 Issued in IA

Practice address

2431 Coral CT Ste 2
Coralville, IA 52241-2838

Phone

(319) 545-4104

Fax

(319) 545-4105

NPI assigned

Feb 17, 2015

Last updated

Mar 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT Holdings LLCGroup PAC ID 4688679293, 170 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602

  WI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1891186599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 CORAL CT STE 2",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412838",
            "telephone_number": "319-545-4104",
            "fax_number": "319-545-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 CORAL CT STE 2",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412838",
            "telephone_number": "319-545-4104",
            "fax_number": "319-545-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZUB",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "076196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "076196",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethesda Medicine
• Better Care Center LLC
• Vani Bhatt, M.D., FAAP
• Caitlin Bielenberg
• Grace Bischke
• Kim Blackwell, LPT
• Hailey Blythe
• Allison M Boardman, M.D.
• Erica Lynn Bobst, LMHC
• Katelyn Bocken

• Physical Therapist in Coralville, IA
• Providers in Coralville, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.

Verify at the official NPI Registry.