Sports Rehab & Professional Therapy Associates

LBN: Sports Rehab & Professional Therapy Associates
Sports Rehab & Professional Therapy Associates is an health care organization with primary practice located at 315 W 5Th St , Storm Lake IA 50588-1743. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Sports Rehab & Professional Therapy Associates can be contacted via phone (712) 732-7725, or through Nicholson, Todd D via phone (712) 732-7725.

Contact Information

Primary practice address
315 W 5Th St Storm Lake IA 50588-1743
Phone: (712) 732-7725
Fax: (712) 732-5153
Website:
Map and Directions
Authorized official contact:
Name: Nicholson, Todd D PHYSICAL THERAPIST
Phone: (712) 732-7725

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X M096051 Iowa
Suppliers / Customized Equipment 332BC3200X M096051 Iowa

Profile Details

NPI number 1285772970
LBN Legal business name Sports Rehab & Professional Therapy Associates
DBA Doing business as
Authorized official Nicholson, Todd D PHYSICAL THERAPIST
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285772970 NPPES
Iowa MEDICAID 0118984

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