Provider Demographics
NPI:1821480302
Name:IOWA PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:IOWA PHYSICAL THERAPY, P.C.
Other - Org Name:CEDAR HAND THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARGHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:319-895-4085
Mailing Address - Street 1:108 1ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IA
Mailing Address - Zip Code:52314-1401
Mailing Address - Country:US
Mailing Address - Phone:319-895-4085
Mailing Address - Fax:319-895-8013
Practice Address - Street 1:2750 1ST AVE NE STE 200
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-4831
Practice Address - Country:US
Practice Address - Phone:319-366-1886
Practice Address - Fax:319-366-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA6178650001332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0477679Medicaid