Organization Active NPI

Iowa Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Mount Vernon, IA
National Provider Identifier
1962574640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
IOWA PHYSICAL THERAPY PC
Practice address
108 1St St SE
Mount Vernon, IA 52314-1465
Phone
(319) 895-4085
Fax
(319) 895-8013
NPI assigned
Nov 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Matthew John Margheim, MPTNPI 1285614594
Title
Owner
Phone
(319) 895-4085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

108 1St St SE
Mount Vernon, IA 52314-1465

Mailing address

108 1St St SE
Mount Vernon, IA 52314-1465
Phone (319) 895-4085

Other identifiers 2

IdentifierTypeStateIssuer
1285614594OtherIANPI
0477679MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180813002922 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931138757 Receives reassigned benefits from 3 practitioners
Practice locations: Monticello, IA; Mount Vernon, IA

National Provider Directory

National Provider Directory

Locations

2781 Oakdale Blvd
Ste 2
Coralville, IA 52241
Phone (319) 665-2555

740 N 15th Ave
Ste 100
Hiawatha, IA 52233
Phone (319) 294-6694

2220 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 339-4278

108 1st St SE
Ste 3
Mount Vernon, IA 52314
Phone (319) 895-4085

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962574640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 1ST ST SE",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141465",
            "telephone_number": "319-895-4085",
            "fax_number": "319-895-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 1ST ST SE",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141465",
            "telephone_number": "319-895-4085",
            "fax_number": "319-895-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARGHEIM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-895-4085",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285614594",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477679",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.