Provider Demographics
NPI:1417047317
Name:WORK SYSTEMS REHAB, PC
Entity Type:Organization
Organization Name:WORK SYSTEMS REHAB, PC
Other - Org Name:WORK SYSTEMS REHAB & FITNESS, PC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENAE
Authorized Official - Middle Name:
Authorized Official - Last Name:OPPENHUIZEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-204-0046
Mailing Address - Street 1:604 LIBERTY ST STE 227
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-1776
Mailing Address - Country:US
Mailing Address - Phone:641-621-0230
Mailing Address - Fax:641-621-0319
Practice Address - Street 1:604 LIBERTY ST STE 227
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-1776
Practice Address - Country:US
Practice Address - Phone:641-621-0230
Practice Address - Fax:641-621-0319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA31057OtherWELLMARK
IAI9188OtherMEDICARE PTAN
IA0423806Medicaid