MRS. MYRNA RAE VAN DE WALLE (NPI# 1083760755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083760755 |
| Entity Type | Individual |
| Full Name | MRS. MYRNA RAE VAN DE WALLE |
| Credential | PHYSICAL THERAPIST |
| Practice Address |
9184 265th St Suite B Clear Lake IA 50428-8507 |
| Mailing Address |
609 S Tennessee Pl Mason City IA 50401-5358 |
| Practice Telephone | 6413576112 |
| Practice Fax Number | 6413573686 |
| Mailing Telephone | 6414246042 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 00694 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9184 265TH ST SUITE B |
| City | CLEAR LAKE |
| State | IA |
| Zip Code | 50428-8507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1780228270 | Laura Lee Wilcke | Behavioral Analyst | 1020 Buddy Holly Place, Clear Lake, IA 50428 | 2019-10-29 |
| 1578120978 | Jon Secory | Pharmacist | 20 S. 4th St, Clear Lake, IA 50428 | 2019-05-22 |
| 1285109207 | Julie Livingston | Registered Nurse | Thrifty White Drug, 1907 Us Highway 18 East, Clear Lake, IA 50428 | 2018-10-05 |
| 1720580277 | Kelly Nieman | Nurse Practitioner | 1410 6th Ave South, Clear Lake, IA 50428 | 2018-03-01 |
| 1427439892 | Christopher Fischer | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428 | 2015-06-11 |
| 1609114958 | Hasco Inc. | Pharmacy | 8 North 4th St, Clear Lake, IA 50428 | 2013-01-22 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
| 1326204686 | Anjali S. Henry | Pediatrics | 418 North Shore Drive, Clear Lake, IA 50428 | 2008-08-05 |
| Find all providers in zip 50428 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853175 | Kyle Anthony Larson | Physical Therapist | 417 3rd Avenue, Clear Lake, WI 54005-8905 | 2020-05-27 |
| 1427439892 | Christopher Fischer | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428 | 2015-06-11 |
| 1689855355 | Deborah Sue Cuper | Physical Therapist | 417 3rd Ave., Clear Lake, WI 54005 | 2007-11-21 |
| 1700070661 | Duane A Hermen | Physical Therapist | 5 Teamquest Way, Clear Lake, IA 50428-2296 | 2007-09-04 |
| 1093885030 | Brenda J. Howke | Physical Therapist | 7 S 8th St, Ste C, Clear Lake, IA 50428-1927 | 2006-11-08 |
| 1225042013 | Emily J Monson | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2006-07-28 |
| 1700819711 | Martinek Physical Therapy, P.l.c. | Physical Therapist | 20 N 8th St, Clear Lake, IA 50428-1712 | 2006-07-10 |
| 1528667029 | Molencamp Physical Therapy and Wellness | Physical Therapist | 800 N 8th St, Clear Lake, IA 50428-1539 | 2020-10-26 |
| 1427663657 | Jenna M Peterson | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428-1927 | 2020-09-14 |
| 1972060713 | Libby Hennessy | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428-1927 | 2019-02-28 |
| Find all providers in CLEAR LAKE | ||||
| City | CLEAR LAKE |
| Zip Code | 50428 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.