Calvin Richard Brutus, PTA
Individual provider Active NPI Physical Therapy Assistant · Le Mars, IA
NPI 1992636054 · NPPES record last updated May 27, 2026
Key facts
- NPI
- 1992636054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 083506 (IA)
- Practice address
- 1140 Lincoln St NE
Le Mars, IA 51031 - Phone
- (712) 546-4101
- NPI assigned
- May 27, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083506 | IA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 083506 | IA | Yes |
Addresses
Primary practice location
1140 Lincoln St NE
Le Mars, IA 51031
Mailing address
512 6TH Ave SE
Le Mars, IA 51031
Phone (863) 781-4621
Other practice location 1
324 1st Ave N
George, IA 51237
Phone (712) 475-3391
Other providers in Le Mars, IA
- Jamie Lou Boysen
- Jessica Bradley
- Jean Bredehoeft
- Brower Dental Health
- Scott Documents on Brown
- Care1Nurses
- Maria E Catalan-Aquino
- Lori A Christoffersen
- Lisa Marie Coleman
- Jennifer Conrad
All providers in Le Mars, IA · Physical Therapy Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.