NPIMap

Organization Active NPI

HS Occupational Wellness LLC

  • Physical Therapist
  • Sioux City, IA
National Provider Identifier
1982202180
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HS OCCUPATIONAL WELLNESS LLC
Practice address
3100 S Lakeport St
Sioux City, IA 51106-4222
Phone
(712) 277-4442
Fax
(712) 202-0578
NPI assigned
Oct 12, 2020
Last updated
Oct 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
John Stollberg, OTR/LNPI 1295112340
Title
Chief Operating Officer
Phone
(712) 277-4442

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 Primary

Addresses

Primary practice location

3100 S Lakeport St
Sioux City, IA 51106-4222

Mailing address

3100 S Lakeport St
Sioux City, IA 51106-4222
Phone (712) 277-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260225002939 IA Part B Supplier - Clinic/Group Practice 7416438684 Receives reassigned benefits from 9 practitioners
Practice locations: Sioux City, IA
O20260505001632 SD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416438684 Receives reassigned benefits from 9 practitioners
Practice locations: Dakota Dunes, SD; Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

3100 S Lakeport St
Sioux City, IA 51106
Phone (712) 277-4442

3409 Singing Hills Blvd
Sioux City, IA 51106
Phone (712) 202-0702

3410 S Western Ave
Sioux Falls, SD 57105
Phone (605) 271-9980

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": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1982202180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S LAKEPORT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064222",
            "telephone_number": "712-277-4442",
            "fax_number": "712-202-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S LAKEPORT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064222",
            "telephone_number": "712-277-4442",
            "fax_number": "712-202-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HS OCCUPATIONAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "STOLLBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "712-277-4442",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.