Individual provider Active NPI

Wendy Sue Bloomhuff, DPT

  • Physical Therapist
  • Bettendorf, IA
National Provider Identifier
1952370355
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03884 Issued in IA
Practice address
2300 53Rd Ave Ste LL02
Bettendorf, IA 52722-7565
Phone
(563) 449-7000
Fax
(563) 449-7099
NPI assigned
Mar 16, 2006
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03884 IA Primary

Addresses

Primary practice location

2300 53Rd Ave Ste LL02
Bettendorf, IA 52722-7565

Mailing address

850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070

Other identifiers 1

IdentifierTypeStateIssuer
03884OtherIAIOWA PT LICENSE

Other names 1

  • Ms. Wendy Sue Pieper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070427000128 IA Practitioner - Physical Therapist in Private Practice 2466558044 Reassigns benefits to 1 organization
I20210720000882 IL Practitioner - Physical Therapist in Private Practice 2466558044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3800 Ave of the Cities
Suite 107
Moline, IL 61265-4424
Phone (309) 743-0106

4451 E 53Rd St
Suite 200
Davenport, IA 52807-3142
Phone (563) 362-0016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Mar 5, 2007 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Mar 5, 2007 Accepting new patients
Mercy Home Care & Hospice-Clinton Past Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

1705 N Ankeny Blvd
Ste A
Ankeny, IA 50023
Phone (515) 446-0733

1427 S Washington Blvd
Camanche, IA 52730
Phone (563) 259-4440

4451 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 362-0016

1905 Ingersoll Ave
Ste 104
Des Moines, IA 50309
Phone (515) 369-2306

3414 Northport Dr
Ste 2
Muscatine, IA 52761
Phone (563) 263-2639

419 W Bridge Rd
Ste A
Polk City, IA 50226
Phone (515) 984-6377

5700 University Ave
Ste 222
West Des Moines, IA 50266
Phone (309) 743-2070

3800 Avenue of the Cities
Ste 107
Moline, IL 61265
Phone (309) 743-0106

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

850 43rd Ave
Ste 200
Moline, IL 61265
Phone (309) 743-0300

850 43rd Ave
Ste 300
Moline, IL 61265
Phone (309) 743-0300

9901 N Knoxville Ave
Ste D
Peoria, IL 61615
Phone (309) 243-1989

1013 N Cummings Ln
Washington, IL 61571
Phone (309) 444-1030

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1952370355",
    "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": "2300 53RD AVE STE LL02",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227565",
            "telephone_number": "563-449-7000",
            "fax_number": "563-449-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMHUFF",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA PT LICENSE",
            "identifier": "03884",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "PIEPER",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.