Provider Demographics
NPI:1477325132
Name:PREMIER PHYSICAL THERAPY OF IOWA
Entity Type:Organization
Organization Name:PREMIER PHYSICAL THERAPY OF IOWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:563-370-6751
Mailing Address - Street 1:1130 S SCOTT BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-2909
Mailing Address - Country:US
Mailing Address - Phone:319-338-5800
Mailing Address - Fax:319-338-5775
Practice Address - Street 1:2750 MOUNT PLEASANT ST STE 104
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-2171
Practice Address - Country:US
Practice Address - Phone:563-370-6751
Practice Address - Fax:319-512-7158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty