Healthcare Provider Details

I. General information

NPI: 1952283947
Provider Name (Legal Business Name): HOMETOWN PHYSICAL THERAPY HOLDING COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 E 5TH ST
DES MOINES IA
50309-1925
US

IV. Provider business mailing address

20 W 6TH ST STE 101
SPENCER IA
51301-3906
US

V. Phone/Fax

Practice location:
  • Phone: 515-335-4928
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SANDRA LEE NORBY
Title or Position: OWNER
Credential: DPT
Phone: 712-540-8849