NPIMap

Organization Active NPI

Professional Physical Therapy Services, Inc.

  • Physical Therapy Assistant
  • Osceola, IA
National Provider Identifier
1992912372
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
00581 Issued in IA
Legal business name
PROFESSIONAL PHYSICAL THERAPY SERVICES, INC.
Practice address
123 E Jefferson St
Osceola, IA 50213-1202
Phone
(641) 342-1470
Fax
(641) 342-1219
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Mr. Travis Lee Krutsinger, P.T.A.NPI 1326544412
Title
Chief Executive Officer
Phone
(641) 342-1470

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 00705 IA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 03688 IA
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 00581 IA Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 000103 IA

Addresses

Primary practice location

123 E Jefferson St
Osceola, IA 50213-1202

Mailing address

PO Box 238
Osceola, IA 50213-0238
Phone (641) 342-1470

National Provider Directory

National Provider Directory

Locations

123 E Jefferson St
Osceola, IA 50213
Phone (641) 342-1470

Practitioners 1

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1992912372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502130238",
            "telephone_number": "641-342-1470",
            "fax_number": "641-342-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E JEFFERSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131202",
            "telephone_number": "641-342-1470",
            "fax_number": "641-342-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "KRUTSINGER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "641-342-1470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "00705",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03688",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00581",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "000103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.