Active NPI
Kip A Hytrek, PTA
- Physical Therapy Assistant
- Altoona, IA
National Provider Identifier
1902191661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 001549
- Practice address
- 3770 8TH St SW
Suite a
Altoona, IA 50009-1048 - Phone
- (515) 967-5025
- Fax
- (515) 967-2360
- NPI assigned
- Jun 10, 2011
- Last updated
- Jun 10, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001549 | IA | Primary |
Addresses
Primary practice location
3770 8TH St SW
Suite a
Altoona, IA 50009-1048
Mailing address
3770 7TH St SW
Suite a
Altooa, IA 50009
Phone (515) 967-5025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Altoona, IA
- NPI 1710167838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1902191661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3770 7TH ST SW",
"address_2": "SUITE A",
"city": "ALTOOA",
"state": "IA",
"postal_code": "50009",
"telephone_number": "515-967-5025",
"fax_number": "515-967-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3770 8TH ST SW",
"address_2": "SUITE A",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500091048",
"telephone_number": "515-967-5025",
"fax_number": "515-967-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYTREK",
"first_name": "KIP",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "001549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, IA
- Evelyn Jo Horton, BCBA
- Mary-Grace Elizabeth Hupfeld, OTD, OTR/L, ATC, LAT
- Kelsey Rebecca Hurd, PA-C
- Gina Huth, PT, DPT
- Hy-Vee Inc (Hy-Vee Pharmacy (1011))
- Ryan Ingebrand, PT
- Innovate My Weight and Wellness
- Inside Out Chiropractic PLC
- Iowa Chiropractic of Altoona PC
- Iowa CVS Pharmacy LLC (CVS Pharmacy #17056)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.