MEDICARE: APEX PHYSICAL THERAPY P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	01473	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33194	OTHER	IA	WELLMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851578447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX PHYSICAL THERAPY P.C.

Provider Business Mailing Address
First Line	:	1701 48TH ST
Second Line	:	SUITE 120
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-6723
Country	:	US
Telephone Number	:	515-224-1474
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 48TH ST
Second Line	:	SUITE 120
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-6723
Country	:	US
Telephone Number	:	515-224-1474
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	RICK PETERSON
Credential	:
Telephone Number	:	515-224-1474

Provider Enumeration Date	:	01/25/2008
Last Update Date	:	02/07/2013

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Directions to “APEX PHYSICAL THERAPY P.C. ” Practice Location

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