Active NPI
Michael Richard Lanaghan, PT
- Physical Therapist
- Iowa City, IA
National Provider Identifier
1922016856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01519
- Practice address
- 1705 South 1St Ave
Suite C
Iowa City, IA 52240-6037 - Phone
- (319) 337-8818
- Fax
- (319) 337-8308
- NPI assigned
- Aug 4, 2006
- 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 Therapist | 225100000X | 01519 | IA | Primary |
Addresses
Primary practice location
1705 South 1St Ave
Suite C
Iowa City, IA 52240-6037
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0278952 | Medicaid | IA | |
| 31275 | Other | WELLMARK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01519 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1922016856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 43RD AVE STE 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": "1705 SOUTH 1ST AVE",
"address_2": "SUITE C",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406037",
"telephone_number": "319-337-8818",
"fax_number": "319-337-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANAGHAN",
"first_name": "MICHAEL",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "01519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0278952",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "31275",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.