Active NPI
Michele Kadavy, P.T.
- Physical Therapist
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01736
- Practice address
- 6101 Northwest Blvd
Davenport, IA 52806-1861 - Phone
- (563) 449-7004
- NPI assigned
- May 20, 2006
- Sex
- Female
- 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 | 01736 | IA | Primary |
Addresses
Primary practice location
6101 Northwest Blvd
Davenport, IA 52806-1861
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other practice location 1
3385 Dexter Ct Ste 203
Davenport, IA 52807-3471
Phone (563) 332-9312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01736 | Other | IA | IOWA PT LICENSE NO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Valley Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
| Rock Valley Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
| Ora Orthopedics, PC | Past | Accepting new patients |
Locations
900 W Kimberly Rd
Ste B
Davenport, IA 52806
Phone (563) 362-0023
3385 Dexter Ct
Ste 203
Davenport, IA 52807
Phone (563) 332-9312
850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070
520 Valley View Dr
Ste 200
Moline, IL 61265
Phone (309) 797-0866
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Eldridge, IA
- NPI 1881540490
Physical Therapist
-
- Physical Therapist
- Moline, IL
- NPI 1245373166
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1932153160",
"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": "6101 NORTHWEST BLVD",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528061861",
"telephone_number": "563-449-7004"
}
],
"practiceLocations": [
{
"address_1": "3385 Dexter Ct Ste 203",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528073471",
"country_code": "US",
"telephone_number": "563-332-9312",
"fax_number": "563-332-9316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KADAVY",
"first_name": "MICHELE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "01736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA PT LICENSE NO",
"identifier": "01736",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.