Provider Demographics
NPI:1528013406
Name:HUXLEY PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:HUXLEY PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT (ROB)
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:DREW
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:515-597-3726
Mailing Address - Street 1:2213 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-5305
Mailing Address - Country:US
Mailing Address - Phone:515-237-3974
Mailing Address - Fax:515-883-2692
Practice Address - Street 1:408 CAMPUS DRIVE- SUITE B
Practice Address - Street 2:BOX 298
Practice Address - City:HUXLEY
Practice Address - State:IA
Practice Address - Zip Code:50124-0298
Practice Address - Country:US
Practice Address - Phone:515-597-3726
Practice Address - Fax:515-597-3727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0240366Medicaid
IADH0060OtherRAILROAD MEDICARE
P35591Medicare UPIN
IAI3316Medicare PIN