21ST CENTURY REHAB PC (NPI# 1114963154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114963154 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY REHAB PC |
| Practice Address |
612 8th St Sw Altoona IA 50009-4124 |
| Mailing Address |
Po Box 461 Nevada IA 50201-0461 |
| Practice Telephone | 5159674124 |
| Practice Fax Number | 5159679094 |
| Mailing Telephone | 5153823366 |
| Mailing Fax Number | 5153821576 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2013-02-27 |
| Authorized Official Name | MICHELLE R CASSABAUM (CFO) |
| Authorized Official Telephone | 5153823366 |
| Is Organization Subpart | Y |
| Parent Organization Name | 21ST CENTURY REHAB PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OWCP FED WC ALTOONA | 139763501 | 01 | |
| BCBS ALTOONA | 66554 | 01 | |
| PREMIER PROV NETWK | 3432608 | 01 | |
| MIDLANDS | F1001 | 01 | |
| IA | 0665547 | 05 | |
| IOWA HEALTH SOLUTIONS | 154075 | 01 |
| Street Address |
612 8TH ST SW |
| City | ALTOONA |
| State | IA |
| Zip Code | 50009-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588622252 | Steven C Olsen | Physical Therapist | 612 8th St Sw, Altoona, IA 50009-4124 | 2006-05-03 |
| 1871878819 | Kristin Kay Mariner | Physical Therapist | 612 8th St Sw, Altoona, IA 50009-2301 | 2011-10-20 |
| 1891078028 | Madelyn Schoen | Speech-Language Pathologist | 612 8th St Sw, Altoona, IA 50009-2301 | 2011-09-23 |
| 1164710398 | Kelsay Marie Johnson | Physical Therapy Assistant | 612 8th St Sw, Altoona, IA 50009-2301 | 2011-07-21 |
| 1033424007 | Teresa Duit | Physical Therapy Assistant | 612 8th St Sw, Altoona, IA 50009-2301 | 2010-08-13 |
| 1619115565 | Matthew Johnson | Physical Therapist | 612 8th St Sw, Altoona, IA 50009-2301 | 2009-01-30 |
| 1710124177 | Amanda Susan Marine | Speech-Language Pathologist | 612 8th St Sw, Altoona, IA 50009-2301 | 2009-01-07 |
| 1538350061 | Dana Nicole Johnson | Specialist/Technologist | 612 8th St Sw, Altoona, IA 50009-2301 | 2007-08-08 |
| 1396945796 | Tara M Marler | Occupational Therapy Assistant | 612 8th St Sw, Altoona, IA 50009-2301 | 2007-07-23 |
| 1265655690 | Diane Marie Brammer O'connor | Speech-Language Pathologist | 612 8th St Sw, Altoona, IA 50009-2301 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356846414 | Iowa Dermatology Clinic Plc | Clinic/Center | 3053 8th Street, Suite 200, Altoona, IA 50009 | 2018-03-29 |
| 1851845002 | Katie Denker | Physical Therapist | 3160 8th St Sw Ste M&n, Altoona, IA 50009 | 2016-08-04 |
| 1326417593 | Jennifer Boyles | Dentist | 2575 1st Ave S, Altoona, IA 50009 | 2015-09-17 |
| 1760898795 | Matthew Nicholson | Family Medicine | 160 Adventureland Dr Nw Ste C, Altoona, IA 50009 | 2014-07-10 |
| 1780960237 | Michael Joseph Hoffman | Pharmacist | 233 35th Street Southwest, Altoona, IA 50009 | 2011-10-28 |
| 1932427101 | Michael D Wall | Physical Therapist | 2720 8th Street Sw, Altoona, IA 50009 | 2010-05-12 |
| 1285959957 | Iowa Hearing Associates LLC | Hearing Aid Equipment | 3160 8th St Sw Suite F, Altoona, IA 50009 | 2010-04-06 |
| 1114046547 | Christopher John Hlas | Dentist | 107 8th St Se, Altoona, IA 50009 | 2007-03-28 |
| 1164506622 | Kylon A Schmitt | Physician Assistant | 3770 8th St Sw Ste B, Altoona, IA 50009 | 2006-10-24 |
| 1740395771 | Iowa Family Pharmacy Inc | Pharmacy | 325 8th St Se, Altoona, IA 50009 | 2006-08-20 |
| Find all providers in zip 50009 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578504973 | Keystone Rehabilitation Systems Inc | Clinic/Center | 169 Lakemont Park Blvd, Altoona, PA 16602-5945 | 2006-06-09 |
| 1710167838 | Physiotherapy Associates Inc | Clinic/Center | 3770 8th St Sw, Suite A, Altoona, IA 50009-1048 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
| 1053924449 | Pella Regional Health Center | Clinic/Center | 404 S Commerce, Prairie City, IA 50228-8560 | 2020-08-26 |
| 1730702275 | Physiotherapy Associates, Inc. | Clinic/Center | 87 Paine St Se Ste 1&2, Bondurant, IA 50035-1451 | 2020-05-19 |
| 1821617069 | Physiotherapy Assoicates, Inc. | Clinic/Center | 319 7th St Ste 102, Des Moines, IA 50309-3812 | 2020-04-08 |
| 1194354795 | Physiotherapy Assoicates, Inc. | Clinic/Center | 87 Paine St Se, Bondurant, IA 50035-1451 | 2020-04-06 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1982265559 | Physiotherapy Associates, Inc. | Clinic/Center | 516 Nile Kinnick Dr S Ste B, Adel, IA 50003-2076 | 2019-06-25 |
| 1548820145 | Physiotherapy Associates, Inc. | Clinic/Center | 1327 Sunset Dr # 400, Norwalk, IA 50211-1343 | 2019-06-17 |
| 1952822801 | Physiotherapy Assoicates, Inc. | Clinic/Center | 9500 University Ave Ste 1115, West Des Moines, IA 50266-1745 | 2017-06-30 |
| 1659746766 | Physiotherapy Associates Inc | Clinic/Center | 3111 Gordon Dr, Sioux City, IA 51105-3730 | 2015-12-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.