Indianola Physical Therapy

LBN: 21St Century Rehab,Pc
Indianola Physical Therapy is an health care organization with primary practice located at 1507 N 1St St , Indianola IA 50125-3703. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. 21St Century Rehab,Pc can be contacted via phone (515) 961-7435, or through Cassabaum, Michelle R via phone (515) 382-3366.

Contact Information

Primary practice address
1507 N 1St St Indianola IA 50125-3703
Phone: (515) 961-7435
Fax: (515) 961-7436
Website:
Map and Directions
Authorized official contact:
Name: Cassabaum, Michelle R
Phone: (515) 382-3366

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X Iowa

Profile Details

NPI number 1174783583
LBN Legal business name 21St Century Rehab,Pc
DBA Doing business as Indianola Physical Therapy
Authorized official Cassabaum, Michelle R
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 10th, 2008
Last updated Jul 17th, 2008 - about 18 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 1174783583 NPPES
Iowa MEDICAID 0665810
Iowa Other 36587

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