Organization Active NPI

Physical Therapy Partners

  • Physical Therapist
  • Waterloo, IA
National Provider Identifier
1912987108
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02905 Issued in IA
Legal business name
PHYSICAL THERAPY PARTNERS
Practice address
815 Tower Park Dr
Waterloo, IA 50701-9026
Phone
(319) 233-6995
Fax
(319) 233-7083
NPI assigned
Jan 23, 2006
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Amy Kimball, PT, ATCNPI 1740250281
Title
Partner
Phone
(319) 233-6995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 02905 IA Primary
Physical Therapy Clinic/Center 261QP2000X IA

Addresses

Primary practice location

815 Tower Park Dr
Waterloo, IA 50701-9026

Mailing address

815 Tower Park Dr
Waterloo, IA 50701-9026
Phone (319) 233-6995

Other identifiers 2

IdentifierTypeStateIssuer
0665539MedicaidIA
66553OtherIAWELLMARK

National Provider Directory

National Provider Directory

Locations

3820 Pheasant Ln
Waterloo, IA 50701
Phone (319) 233-6995

Practitioners & affiliated clinicians

Practitioners 5

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": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1912987108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 TOWER PARK DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019026",
            "telephone_number": "319-233-6995",
            "fax_number": "319-233-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 TOWER PARK DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019026",
            "telephone_number": "319-233-6995",
            "fax_number": "319-233-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "319-233-6995",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02905",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665539",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "66553",
            "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 Jun 3, 2010; 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.