BLAKE TIEDTKE (NPI# 1922248566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922248566 |
| Entity Type | Individual |
| Full Name | BLAKE TIEDTKE |
| Credential | DPT |
| Practice Address |
645 32nd Ave Sw Ste A Cedar Rapids IA 52404-3907 |
| Mailing Address |
3290 Ridgeway Dr Ste 3 Coralville IA 52241 |
| Practice Telephone | 3193632901 |
| Practice Fax Number | 3193632903 |
| Mailing Telephone | 3196652630 |
| Mailing Fax Number | 3196652631 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 004341 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
645 32ND AVE SW STE A |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52404-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366565863 | Sherry Jean Steffen | Physical Therapist | 645 32nd Ave Sw, Ste A, Cedar Rapids, IA 52404-3907 | 2007-04-09 |
| 1316305337 | Kyle Bernard | Physical Medicine & Rehabilitation | 645 32nd Ave Sw, Cedar Rapids, IA 52404-3907 | 2016-02-04 |
| 1780956698 | Kirsten Robertshaw | Physical Medicine & Rehabilitation | 645 32nd Ave Sw, Cedar Rapids, IA 52404-3907 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
| 1528617313 | Humble Language Institute | Interpreter | 3513 Royal Dr. Sw, Cedar Rapids, IA 52404 | 2019-09-05 |
| 1073169074 | Jackie Lugene Mcfetridge | Technician | 3528 Falcon View Rd Sw, Cedar Rapids, IA 52404 | 2019-08-15 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1790231371 | Freddie Lederle | Taxi | 3260 Southgate Place, Cedar Rapids, IA 52404 | 2016-09-01 |
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| 1689094112 | Pathway Counseling Center | Clinic/Center | 1073 Rockford Rd Se, Suite E, Cedar Rapids, IA 52404 | 2014-04-23 |
| Find all providers in zip 52404 | ||||
| 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 |
|---|---|---|---|---|
| 1467017244 | Aaron Sloterdyk | Physical Medicine & Rehabilitation | 645 32nd Ave Sw Ste A, Cedar Rapids, IA 52404-3907 | 2019-05-07 |
| 1639197015 | Angela Christine Mccormick | Physical Medicine & Rehabilitation | 625 32nd Ave Sw, Cedar Rapids, IA 52404-3947 | 2006-07-17 |
| 1639146558 | Sunny R Kim | Physical Medicine & Rehabilitation | 6005 Rockwell Dr Ne Ste B, Cedar Rapids, IA 52402 | 2006-03-01 |
| 1982252656 | Anya Christine Polehna | Physical Medicine & Rehabilitation | 400 Collins Rd Ne # Ms 154100, Cedar Rapids, IA 52498-0505 | 2019-08-27 |
| 1316305337 | Kyle Bernard | Physical Medicine & Rehabilitation | 645 32nd Ave Sw, Cedar Rapids, IA 52404-3907 | 2016-02-04 |
| 1477966828 | James Edward Huber | Physical Medicine & Rehabilitation | 202 10th St Se, Cedar Rapids, IA 52403 | 2014-06-03 |
| 1821330689 | Justin John Gilbert | Physical Medicine & Rehabilitation | 202 10th St Se, Cedar Rapids, IA 52403 | 2013-03-20 |
| 1396002960 | Nicholas R Appleby | Physical Medicine & Rehabilitation | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2012-04-19 |
| 1780956698 | Kirsten Robertshaw | Physical Medicine & Rehabilitation | 645 32nd Ave Sw, Cedar Rapids, IA 52404-3907 | 2012-02-08 |
| 1306136197 | Devin Robert Hilar Smith | Physical Medicine & Rehabilitation | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2011-04-13 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52404 |
Please comment or provide details below to improve the information on BLAKE TIEDTKE.
| 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.