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General NPI Number Information
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NPI Number | 1063368173
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Entity Type | Organization
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Legal Business Name | IOWA LUNA CARE PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 5550 WILD ROSE LN STE 400
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5351
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Country | US
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Telephone | 866-525-3175
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Fax | 650-227-9115
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Provider Business Mailing Address
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Address Line | PO BOX 290609
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City | NASHVILLE
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State | TN
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Zip | 37229-0609
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Country | US
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Telephone | 866-525-3175
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Fax | 650-227-9115
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Authorized Official
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Title or Position | HEAD OF CLINICAL SERVICES
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Name | PALAK SHAH
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Credential | PT, OCS, MLC
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Telephone | 408-823-1214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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