Provider Demographics
NPI:1235162462
Name:CHEQUEST REHABILITATION
Entity Type:Organization
Organization Name:CHEQUEST REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HODGES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:319-754-6558
Mailing Address - Street 1:2850 MOUNT PLEASANT ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-2002
Mailing Address - Country:US
Mailing Address - Phone:319-754-6558
Mailing Address - Fax:319-754-6512
Practice Address - Street 1:2850 MOUNT PLEASANT ST
Practice Address - Street 2:SUITE 104
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-2002
Practice Address - Country:US
Practice Address - Phone:319-754-6558
Practice Address - Fax:319-754-6512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1080465Medicaid
IA23733OtherBLUE CROSS
IA1080465Medicaid