Provider Demographics
NPI:1619948296
Name:JZ PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:JZ PHYSICAL THERAPY INC
Other - Org Name:RIVER REHABILITATION INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:EVERSMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:563-264-8638
Mailing Address - Street 1:2023 CEDAR PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2283
Mailing Address - Country:US
Mailing Address - Phone:563-269-8638
Mailing Address - Fax:563-264-8639
Practice Address - Street 1:2023 CEDAR PLAZA DR
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2283
Practice Address - Country:US
Practice Address - Phone:563-269-8638
Practice Address - Fax:563-264-8639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02315261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA36934OtherWELLMARK
IA0445486Medicaid
IAI12522Medicare ID - Type Unspecified