NPIMap

Organization Active NPI

Le Mars Physical Therapy

  • Physical Therapy Clinic/Center
  • Le Mars, IA
National Provider Identifier
1932369352
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1596 Issued in IA
Legal business name
LE MARS PHYSICAL THERAPY
Practice address
789 Holton Dr
Le Mars, IA 51031-3757
Phone
(712) 546-1718
Fax
(712) 250-2415
NPI assigned
Jun 10, 2008
Last updated
Apr 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Amy Marie Schurman
Title
Office Manager
Phone
(712) 301-6262

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Physical Therapy Clinic/Center 261QP2000X 1596 IA Primary

Addresses

Primary practice location

789 Holton Dr
Le Mars, IA 51031-3757

Mailing address

PO Box 921
Le Mars, IA 51031-0921
Phone (712) 546-1718

Other identifiers 1

IdentifierTypeStateIssuer
1932369352MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080730000567 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375617962 Receives reassigned benefits from 7 practitioners
Practice locations: Le Mars, IA
O20100930070823 IA DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Independently-Practicing Physical Therapist 3375617962 Practice locations: Le Mars, IA

National Provider Directory

National Provider Directory

Locations

789 Holton Dr
Le Mars, IA 51031
Phone (712) 546-1718

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1932369352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510310921",
            "telephone_number": "712-546-1718",
            "fax_number": "712-546-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 HOLTON DR",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313757",
            "telephone_number": "712-546-1718",
            "fax_number": "712-250-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE MARS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "SCHURMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-301-6262"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "1596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932369352",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.