Fort Dodge Physical Therapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

FORT DODGE PHYSICAL THERAPY, LLC

Practice address

102 N 25TH St
Fort Dodge, IA 50501-4338

Phone

(712) 540-8849

Fax

(712) 250-2415

NPI assigned

Mar 23, 2022

Last updated

Jun 6, 2022By 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

Sandra L Norby, PT

Title

Owner

Phone

(712) 540-8849

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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.

• Jacob Michael Cain, PT

  • Physical Therapist
  • Fort Dodge, IA
  • NPI 1346982691
  Medicare reassignment Care Compare group NPD
• Taylor Illg

  • Physical Medicine & Rehabilitation Physician
  • Fort Dodge, IA
  • NPI 1134858046
  Medicare reassignment Care Compare group NPD
• Nicholas Ambrose Simpson, DPT

  • Physical Therapist
  • Carlisle, IA
  • NPI 1932927456
  Medicare reassignment Care Compare group NPD
• Adriana Cullinan, DPT

  • Physical Therapist
  • Boone, IA
  • NPI 1417654716
  Medicare reassignment NPD
• Cole Jarrard

  • Physical Therapist
  • Altoona, IA
  • NPI 1083291546
  Medicare reassignment NPD

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1982353140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N 25TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014338",
            "telephone_number": "712-540-8849",
            "fax_number": "712-250-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N 25TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014338",
            "telephone_number": "712-540-8849",
            "fax_number": "712-250-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT DODGE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "NORBY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-540-8849",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Folsom
• Jeffrey Scott Foreman, O.D.
• Fort Dodge Chiropractic Center PLC
• Fort Dodge Health, Inc. (Mobley Chiropractic & Acupuncture)
• Fort Dodge Oral and Maxillofacial Surgery LLP
• Fort Dodge Ywca Women's Halfway House
• Samantha Louise Foster, MS
• Victoria Foster, LPN
• Christina M Foth, RN
• Connie Sue Fox, BSN, RN

• Orthopedic Physical Therapist in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Orthopedic Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.