Advanced Physical Therapy Services, LTD.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ADVANCED PHYSICAL THERAPY SERVICES, LTD.

Doing business as

Advanced Rehab & Sports Medicine

Practice address

2951 Victoria St
Bettendorf, IA 52722-2784

Phone

(309) 345-6317

Fax

(309) 345-6320

NPI assigned

May 22, 2019

Last updated

May 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Steven Oertwig

Title

Director of Finance

Phone

(309) 661-8823

Specialties & licenses 1

Addresses

Other names 1

• Advanced Rehab & Sports Medicine Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952968299. Details of each certification follow.

• CCN 166613 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 166613

Legal name

ADVANCED REHAB & SPORTS MEDICINE

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Nov 13, 2019

Last certification

Nov 13, 2019

Ownership / control type

Proprietary

Facility address

2951 Victoria Street
Bettendorf, IA 52722

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Advanced Physical Therapy Services, LTD.

  dba Advanced Rehab and Sports Medicine

  • Physical Therapist
  • West Burlington, IA
  • NPI 1508017682
  NPPES parent name

Practitioners 1

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.

• Jill Levin, DPT

  • Physical Therapist
  • Bloomington, IL
  • NPI 1821602301
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1952968299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5387",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617025387",
            "telephone_number": "309-661-8823",
            "fax_number": "309-661-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 VICTORIA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222784",
            "telephone_number": "309-345-6317",
            "fax_number": "309-345-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "OERTWIG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "309-661-8823"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Rehab & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Rehab & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott John Aber, LPC, CAC III, LMHC
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• Denise M Aden, LISW
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• Nora Agan, LMSW
• Neeru Agarwal, MD
• Neeru Aggarwal, M.D.
• Steven J Aguilar, MD

• Physical Therapist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.