Provider Demographics
NPI:1881644466
Name:MUSCATINE PHYSICAL THERAPY SERVICES, P.C.
Entity type:Organization
Organization Name:MUSCATINE PHYSICAL THERAPY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:OLINGER
Authorized Official - Last Name:KRAUSHAAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:563-288-6787
Mailing Address - Street 1:2109 CEDARWOOD DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2661
Mailing Address - Country:US
Mailing Address - Phone:563-288-6787
Mailing Address - Fax:563-288-6719
Practice Address - Street 1:2109 CEDARWOOD DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2661
Practice Address - Country:US
Practice Address - Phone:563-288-6787
Practice Address - Fax:563-288-6719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IACJ9921OtherRAILROAD MEDICARE RETIREM
IAF236677OtherMIDLANDS CHOICE
IA49794OtherWELLMARK OF IOWA
IAIA0100OtherJOHN DEERE HEALTH PLAN
IA0263715Medicaid
IAI6498Medicare ID - Type Unspecified
IA4489270001Medicare NSC