VANTAGE REHAB INC (NPI# 1922358175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922358175 |
| Entity Type | Organization |
| Organization Name | VANTAGE REHAB INC |
| Practice Address |
500 N Broad St Shenandoah IA 51601-1318 |
| Practice Telephone | 7122462268 |
| Practice Fax Number | 7122462110 |
| Mailing Telephone | 7122462268 |
| Mailing Fax Number | 7122462110 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | LESLI NORDHUES (OWNER/OT) |
| Authorized Official Telephone | 7123039948 |
| Authorized Official Credential | OT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
01774 | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | NPI | 1568643237 | 01 |
| IA | NPI | 1811265366 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | VANTAGE REHAB INC. | 500 N. Broad Street, Shenandoah, IA 51601 |
| Street Address |
500 N BROAD ST |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568643237 | Lesli Deanne Nordhues | Occupational Therapist | 500 N Broad St, Shenandoah, IA 51601-1318 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831508191 | Cb West, LLC | Clinic/Center | 17951 I 45 S, Shenandoah, TX 77385-8708 | 2014-08-11 |
| 1053546283 | Partners Therapy and Rehabilitation,pllc | Clinic/Center | 111 Vision Park Blvd, Suite 250, Shenandoah, TX 77384-3002 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791872 | Prime Movement LLC | Clinic/Center | 818 Buck St, Tiffin, IA 52340-9419 | 2020-08-19 |
| 1831723626 | Aero Performance and Physical Therapy, Pllc | Clinic/Center | 115 Colton Dr S, North Liberty, IA 52317-9169 | 2020-03-02 |
| 1063045540 | Integritee Health & Performance LLC | Clinic/Center | 1802 N Ankeny Blvd Ste 102, Ankeny, IA 50023-1802 | 2020-02-12 |
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1124671169 | The Wellness Chambers, Pllc | Clinic/Center | 1006 Sw 4th Ct, Grimes, IA 50111-2400 | 2019-07-18 |
| 1013402940 | Return To Sport Services | Clinic/Center | 8874 Woodmayr Cir, Norwalk, IA 50211-1842 | 2018-06-23 |
| 1821526377 | Shelby County Physical Therapy, Inc. | Clinic/Center | 2305 Chatburn Ave, Harlan, IA 51537-1855 | 2017-05-30 |
| 1700329927 | Tipt Pllc | Clinic/Center | 2400 N Dodge St, Suite B, Iowa City, IA 52245-8304 | 2016-11-19 |
| 1144614686 | Cedar Falls Lutheran Home | Clinic/Center | 7517 University Ave, Suite 7, Cedar Falls, IA 50613-5074 | 2015-03-23 |
| 1699166900 | Jeff Reding | Clinic/Center | 302 N 18th St, Indianola, IA 50125-9720 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
Please comment or provide details below to improve the information on VANTAGE REHAB INC.
| 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.