CLINTON PHYSICAL THERAPY (NPI# 1326228255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326228255 |
| Entity Type | Organization |
| Organization Name | CLINTON PHYSICAL THERAPY |
| Practice Address |
931 13th Ave N Clinton IA 52732-5070 |
| Practice Telephone | 5632437814 |
| Practice Fax Number | 5632432441 |
| Mailing Telephone | 5632437814 |
| Mailing Fax Number | 5632432441 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-10-20 |
| Authorized Official Name | GARY D VANDE KAMP (PRESIDENT) |
| Authorized Official Telephone | 5633570305 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MEDICAID DME | 0111013 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427238351 | Clinton Physical Therapy | Durable Medical Equipment & Medical Supplies | 240 N Bluff Blvd, Suite 101, Clinton, IA 52732-7146 | 2007-11-08 |
| Street Address |
931 13TH AVE N |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-5070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761643 | Duglas J Brondyke | Physical Therapist | 931 13th Ave N, Rock Valley Physical Therapy, Clinton, IA 52732-5072 | 2005-09-26 |
| 1548813173 | Nicole Gruhn | Physical Therapist | 931 13th Ave N, Clinton, IA 52732-5072 | 2019-07-23 |
| 1124429246 | Brittney Davis | Physical Therapist | 931 13th Ave N, Clinton, IA 52732-5072 | 2014-09-08 |
| 1558782110 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 931 13th Ave N, Clinton, IA 52732-5072 | 2013-12-30 |
| 1366724874 | Rock Valley Physical Therapy Center | Occupational Therapist | 931 13th Ave N, Clinton, IA 52732-5072 | 2011-09-12 |
| 1881871838 | Lisa A Lehr | Occupational Therapist | 931 13th Ave N, Clinton, IA 52732-5070 | 2008-01-22 |
| 1659396364 | J & S Kelly LLC | Durable Medical Equipment & Medical Supplies | 931 13th Ave N, Clinton, IA 52732-5032 | 2006-07-13 |
| 1407824907 | Benjamin Jobgen | Physical Therapist | 931 13th Ave N, Clinton, IA 52732-5072 | 2006-03-09 |
| 1235125279 | Julie A Harmon | Occupational Therapist | 931 13th Ave N, Clinton, IA 52732-5070 | 2005-09-26 |
| 1215923263 | James M Norman | Physical Therapist | 931 13th Ave N, Clinton, IA 52732-5070 | 2005-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154942654 | Priority Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 517 S 30th St, Clinton, OK 73601-3632 | 2020-05-06 |
| 1952864266 | Roy C Patton | Durable Medical Equipment & Medical Supplies | 305 Clinton Blvd, Clinton, MS 39056-5217 | 2019-04-12 |
| 1811427214 | Pause The Pain | Durable Medical Equipment & Medical Supplies | 637 N 1260 W, Clinton, UT 84015-9305 | 2017-06-18 |
| 1730538885 | Medworx Home Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 988 S Broad St, Clinton, SC 29325-2866 | 2016-06-09 |
| 1386011278 | St. Regis Medical Equipment Corp. | Durable Medical Equipment & Medical Supplies | 8195 Seneca Tpke, Clinton, NY 13323-1100 | 2015-08-26 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1770826158 | Mississippi Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 801 Highway 80 E, Clinton, MS 39056-5252 | 2013-04-03 |
| 1649512260 | Recovery Sports Inc | Durable Medical Equipment & Medical Supplies | 143 Navajo Cir, Clinton, MS 39056-3110 | 2013-03-21 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1235483777 | Excel Health Systems LLC | Durable Medical Equipment & Medical Supplies | 10735 Roosevelt Street, Clinton, LA 70722 | 2012-11-06 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on CLINTON PHYSICAL THERAPY.
| 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.