Organization Active NPI

Opportunity Therapy LLC

  • Physical Therapist
  • Clarksville, IA
National Provider Identifier
1962801019
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03414 Issued in IA
Legal business name
OPPORTUNITY THERAPY LLC
Practice address
103 S Main St
Clarksville, IA 50619-2022
Phone
(319) 278-4321
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Teresa Negen, PTNPI 1538228903
Title
Owner
Phone
(319) 430-0618

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 03414 IA Primary

Addresses

Primary practice location

103 S Main St
Clarksville, IA 50619-2022

Mailing address

103 S Main St
Clarksville, IA 50619-2022
Phone (319) 278-4321

Other practice location 1

228 S Cherry St
Shell Rock, IA 50670-7758
Phone (319) 885-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021000398 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6305067125 Receives reassigned benefits from 2 practitioners
Practice locations: Clarksville, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1962801019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "CLARKSVILLE",
            "state": "IA",
            "postal_code": "506192022",
            "telephone_number": "319-278-4321",
            "fax_number": "319-278-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "CLARKSVILLE",
            "state": "IA",
            "postal_code": "506192022",
            "telephone_number": "319-278-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 S Cherry St",
            "address_purpose": "LOCATION",
            "city": "Shell Rock",
            "state": "IA",
            "postal_code": "506707758",
            "country_code": "US",
            "telephone_number": "319-885-3000",
            "fax_number": "319-885-3002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPPORTUNITY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "NEGEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-430-0618",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.