ROCK VALLEY PHYSICAL THERAPY CENTER (NPI# 1235396912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235396912 |
| Entity Type | Organization |
| Organization Name | ROCK VALLEY PHYSICAL THERAPY CENTER |
| Practice Address |
112 2nd St Nw Waverly IA 50677-2619 |
| Mailing Address |
850 43rd Ave Suite 100 Moline IL 61265-8401 |
| Practice Telephone | 3193520102 |
| Practice Fax Number | 3193520104 |
| Mailing Telephone | 3097432070 |
| Mailing Fax Number | 3097432073 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | RANDY E BOLDT (CFO) |
| Authorized Official Telephone | 3097432070 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 225100000X | Physical Therapist | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | GROUP BILLING # FOR MEDICARE | I18344 | 01 |
| IA | GROUP BILLING # FOR MEDICAID | 0565937 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891171047 | Rock Valley Physical Therapy Center | Occupational Therapist | 5401 N Knoxville Ave Ste 107, Peoria, IL 61614-5093 | 2015-08-10 |
| 1891005252 | Rock Valley Physical Therapy Center | Occupational Therapist | 1905 Ingersoll, Suite 104, Des Moines, IA 50309-3305 | 2010-10-19 |
| 1245554377 | Rock Valley Physical Therapy Center | Occupational Therapist | 9901 N Knoxville Avenue, Suite D, Peoria, IL 61615 | 2010-03-18 |
| 1558507806 | Rock Valley Physical Therapy Center | Occupational Therapist | 212 W Van Dorn St, Ste D, Polk City, IA 50226 | 2008-12-16 |
| 1679730360 | Rock Valley Physical Therapy Center | Occupational Therapist | 241 S State St, Denver, IA 50622-7711 | 2008-05-20 |
| 1871701599 | Rock Valley Physical Therapy Center | Occupational Therapist | 3605 University Dr, Suite 2, Muscatine, IA 52761-9607 | 2007-05-18 |
| 1356806285 | Rock Valley Physical Therapy Center | Occupational Therapist | 1905 Ingersoll Ave Ste 104, Des Moines, IA 50309-3305 | 2019-02-05 |
| 1780966614 | Rock Valley Physical Therapy Center | Occupational Therapist | 2635 Lincoln Way, Suite C, Clinton, IA 52732-7203 | 2011-09-16 |
| 1952683468 | Rock Valley Physical Therapy Center | Occupational Therapist | 1121 N 5th St, Savanna, IL 61074-9732 | 2011-09-12 |
| 1366724874 | Rock Valley Physical Therapy Center | Occupational Therapist | 931 13th Ave N, Clinton, IA 52732-5072 | 2011-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROCK VALLEY PHYSICAL THERAPY CENTER, A PROFESSIONAL CORPORATION | 850 43rd Ave, Ste 100, Moline, IL 61265-8401 |
| Iowa Business Entities | ROCK VALLEY PHYSICAL THERAPY CENTER, A PROFESSIONAL CORPORATION. | 850 43rd Ave, Ste 100, Moline, IL 61265 |
| Street Address |
112 2ND ST NW |
| City | WAVERLY |
| State | IA |
| Zip Code | 50677-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356325203 | Jonathan D Wolff | Physical Therapist | 112 2nd St Nw, Waverly, IA 50677 | 2005-12-05 |
| 1013434349 | Erin Kaitlyn Johnson | Physical Therapy Assistant | 112 2nd St Nw, Waverly, IA 50677-2619 | 2017-08-28 |
| 1861730731 | Jennifer K Peters | Physical Therapist | 112 2nd St Nw, Waverly, IA 50677-2619 | 2013-01-28 |
| 1730291220 | Michelle Breitbach | Physical Therapist | 112 2nd St Nw, Waverly, IA 50677-2619 | 2006-08-31 |
| 1508837923 | Jon Woltz | Physical Therapist | 112 2nd St Nw, Waverly, IA 50677-2619 | 2006-02-01 |
| 1861463291 | Janelle Mccalla | Physical Therapist | 112 2nd St Nw, Waverly, IA 50677-2619 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514540 | North Iowa Counseling, LLC | Community/Behavioral Health | 506 E Bremer Ave, Waverly, IA 50677 | 2018-07-19 |
| 1942707211 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 155 Cedar River Parkway, Suite 101, Waverly, IA 50677 | 2018-04-12 |
| 1255887170 | Amy Susan Roling | Counselor | 118 1 Street Sw, Waverly, IA 50677 | 2016-08-31 |
| 1770995581 | Pauline Beth Meyer | Chiropractor | 307 Crestwood Ave, Waverly, IA 50677 | 2014-05-28 |
| 1043652860 | Jan Paula Davis | Nurse Practitioner | 312 9th St Sw Ste 3300, Waverly, IA 50677 | 2013-07-22 |
| 1134425648 | Jerry P Mahacek | Dentist | 601 Brown Lane, Waverly, IA 50677 | 2011-01-31 |
| 1851619811 | Phillip Nathaniel Fitch | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677 | 2010-05-13 |
| 1801008545 | Leasa Marie Lantzky | Occupational Therapist | 315 3rd Ave. N.e., Waverly, IA 50677 | 2007-05-04 |
| 1891860490 | Joel M Walsworth | Dentist | 121 20th St Nw, Waverly, IA 50677 | 2006-11-21 |
| 1205900602 | Cynthia Sue Peters | Social Worker | 825 1st Ave Ne, Waverly, IA 50677 | 2006-11-17 |
| Find all providers in zip 50677 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563774 | Northern Iowa Therapy PC | Physical Therapist | 217 E Bremer Ave Ste B, Waverly, IA 50677-3435 | 2019-02-06 |
| 1407206667 | Greggory T. Schlueter | Physical Therapist | 13851 Guildford St Ste B, Waverly, NE 68462-1453 | 2016-06-20 |
| 1356653802 | Michael James Mefferd | Physical Therapist | 1810 4th St Sw Ste 103, Waverly, IA 50677-4389 | 2010-07-12 |
| 1831421049 | Craig G Mennenga | Physical Therapist | 1810 4th St Sw Ste 103b, Waverly, IA 50677-4389 | 2010-02-12 |
| 1902042450 | Patricia Louise Ward | Physical Therapist | 97 Center St, Waverly, NY 14892-1103 | 2009-01-05 |
| 1467643437 | Angela V. Nartker | Physical Therapist | 1955 Us Highway 23, Waverly, OH 45690-9553 | 2007-08-06 |
| 1982763488 | Northern Iowa Therapy Associates, LLC | Physical Therapist | 217 E. Bremer Ave, Waverly, IA 50677-3435 | 2006-12-08 |
| 1639140064 | Casey Doyle | Physical Therapist | 413 W Bremer Ave, Waverly, IA 50677-3145 | 2006-02-01 |
| 1356325203 | Jonathan D Wolff | Physical Therapist | 112 2nd St Nw, Waverly, IA 50677 | 2005-12-05 |
| 1861015026 | Shannon E Roth | Physical Therapist | 217 E Bremer Ave, Waverly, IA 50677-3435 | 2020-05-22 |
| Find all providers in WAVERLY | ||||
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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.