PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NORTHEAST IOWA INC (NPI# 1659564664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659564664 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NORTHEAST IOWA INC |
| Practice Address |
36 W Park Lane Waterloo IA 50701-5178 |
| Mailing Address |
36 W Park Ln Waterloo IA 50701-5178 |
| Practice Telephone | 3192340109 |
| Practice Fax Number | 3192345774 |
| Mailing Telephone | 3192340109 |
| Mailing Fax Number | 3192345774 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | DR. FARID F MANSHADI (PRESIDENT) |
| Authorized Official Telephone | 3192340109 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | J-054600 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208100000X | Physical Medicine & Rehabilitation | 27493 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
36 W PARK LANE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-5178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417269655 | Mahesh Mohan | Physical Medicine & Rehabilitation | 2710 Saint Francis Dr Ste 419, Waterloo, IA 50702-5634 | 2010-07-03 |
| 1477598845 | Austin Physical Therapy | Physical Medicine & Rehabilitation | 1282 Waterloo Geneva Rd, Waterloo, NY 13165-1208 | 2006-06-18 |
| 1033197165 | Farid Frederick Manshadi | Physical Medicine & Rehabilitation | 36 W Park Ln, Waterloo, IA 50701-5178 | 2006-01-09 |
| 1700814597 | Julie S. Bellone | Physical Medicine & Rehabilitation | 1282 Waterloo Geneva Rd, Waterloo, NY 13165-1208 | 2006-06-29 |
| 1366487092 | Barbara J Malicka-rozek | Physical Medicine & Rehabilitation | 3421 W 9th St, Suite 100, Waterloo, IA 50702-5401 | 2006-06-17 |
| 1376587675 | Joseph T. Nora | Physical Medicine & Rehabilitation | 3421 W 9th St, Suite 100, Waterloo, IA 50702-5401 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813726 | Tarah Kooima | Physical Medicine & Rehabilitation | 807 Main St Ste C, Hull, IA 51239-7204 | 2019-10-22 |
| 1619522588 | Megan Ryan Edens | Physical Medicine & Rehabilitation | 702 30th St, Bettendorf, IA 52722-5120 | 2019-08-07 |
| 1467017244 | Aaron Sloterdyk | Physical Medicine & Rehabilitation | 645 32nd Ave Sw Ste A, Cedar Rapids, IA 52404-3907 | 2019-05-07 |
| 1982184289 | Christine Roberts | Physical Medicine & Rehabilitation | 306 E Scenic Valley Ave, Indianola, IA 50125-4865 | 2018-08-16 |
| 1417295577 | Amanda Paige Edwards | Physical Medicine & Rehabilitation | 234 West Street South, Southview Plaza Suite #4, Grinnell, IA 50112-9998 | 2013-01-24 |
| 1114290129 | Caitlin Larsen | Physical Medicine & Rehabilitation | 3290 Ridgeway Dr Ste 3, Coralville, IA 52241-2023 | 2012-02-22 |
| 1780965012 | Ntc LLC | Physical Medicine & Rehabilitation | 5550 Wild Rose Ln, Suite 400, West Des Moines, IA 50266-5304 | 2011-08-31 |
| 1043459175 | Jacob B Moore | Physical Medicine & Rehabilitation | 2707 Stange Road Suite 102, Mcfarland Clinic PC, Ames, IA 50010-3014 | 2009-02-12 |
| 1497939540 | John Richard Milner-brage | Physical Medicine & Rehabilitation | 1103 Clay St, Cedar Falls, IA 50613-3044 | 2007-12-26 |
| 1861691933 | Melissa Sue Wilson | Physical Medicine & Rehabilitation | 105 1st Ave Nw, Preston, IA 52069-9512 | 2007-07-17 |
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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.