NORTHERN IOWA THERAPY ASSOCIATES, LLC

Provider Demographics

• NPI: 1982763488
• Name: NORTHERN IOWA THERAPY ASSOCIATES, LLC
• Entity Type: Organization
• Organization Name: NORTHERN IOWA THERAPY ASSOCIATES, LLC
• Authorized Official - Title/Position: ADMINISTRATOR
• Authorized Official - Prefix: MRS
• Authorized Official - First Name: JEAN
• Authorized Official - Middle Name: ANN
• Authorized Official - Last Name: HARRINGTON-BRITT
• Authorized Official - Credentials: OTRL
• Authorized Official - Phone: 319-231-6131
• Mailing Address - Street 1: 217 E. BREMER AVE
• Mailing Address - City: WAVERLY
• Mailing Address - State: IA
• Mailing Address - Zip Code: 50677
• Mailing Address - Country: US
• Mailing Address - Phone: 319-352-1234
• Mailing Address - Fax: 319-352-4655
• Practice Address - Street 1: 217 E. BREMER AVE
• Practice Address - City: WAVERLY
• Practice Address - State: IA
• Practice Address - Zip Code: 50677-3435
• Practice Address - Country: US
• Practice Address - Phone: 319-352-1234
• Practice Address - Fax: 319-352-4655
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-12-08
• Last Update Date: 2023-12-15

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	224Z00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapy Assistant		Group - Multi-Specialty
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	2251E1200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Ergonomics	Group - Multi-Specialty
No	2251G0304X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Geriatrics	Group - Multi-Specialty
No	2251N0400X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Neurology	Group - Multi-Specialty
No	2251X0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Orthopedic	Group - Multi-Specialty
No	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant		Group - Multi-Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	225XE1200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Ergonomics	Group - Multi-Specialty
No	225XH1200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Hand	Group - Multi-Specialty
No	225XH1300X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Human Factors	Group - Multi-Specialty
No	225XN1300X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Neurorehabilitation	Group - Multi-Specialty
No	225XP0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Pediatrics	Group - Multi-Specialty
No	225XR0403X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Driving and Community Mobility	Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IA	0665992	Medicaid
IA	0665992	Medicaid