ADVANCED WELLNESS SPORTS AND SPINE, PC (NPI# 1992095582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992095582 |
| Entity Type | Organization |
| Organization Name | ADVANCED WELLNESS SPORTS AND SPINE, PC |
| Practice Address |
4550 E 53rd St Suite 100 Davenport IA 52807-3171 |
| Practice Telephone | 5633322152 |
| Practice Fax Number | 5633322153 |
| Mailing Telephone | 5633322152 |
| Mailing Fax Number | 5633322153 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | DR. BRETT C. LOCKMAN (OWNER) |
| Authorized Official Telephone | 5633322152 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
4156 | IA | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
4156 | IA | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | 4156 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
4550 E 53RD ST SUITE 100 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013995695 | Victoria I Rowlands | Nurse Practitioner | 4550 E 53rd St, Suite 100, Davenport, IA 52807-3171 | 2006-01-04 |
| 1255306932 | Celeste Eileen Miller | Physical Medicine & Rehabilitation | 4550 E 53rd St, Suite 100, Davenport, IA 52807-3171 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| 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 |
|---|---|---|---|---|
| 1811488984 | Maria Ann Rodriguez | Physical Medicine & Rehabilitation | 220 Mystery House Rd, Davenport, FL 33837-9764 | 2018-05-24 |
| 1871602144 | Magda M Beauchamp | Physical Medicine & Rehabilitation | 1 South Blvd E # 2875, Davenport, FL 33837-7547 | 2006-08-30 |
| 1699092064 | Denise Walsh Mcmonagle | Physical Medicine & Rehabilitation | 1351 W Central Park Ave, Suite 1225, Davenport, IA 52804-1853 | 2010-04-26 |
| 1396904462 | Joseph Earl Brooks | Physical Medicine & Rehabilitation | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2008-06-04 |
| 1760434658 | Genesis Health System | Physical Medicine & Rehabilitation | 1351 W Central Park Ave, 420, Davenport, IA 52804-1853 | 2006-05-17 |
| 1598745267 | Fareeduddin Ahmed | Physical Medicine & Rehabilitation | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2006-01-19 |
| 1487633624 | Fareeduddin Ahmed Md | Physical Medicine & Rehabilitation | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2006-01-16 |
| 1649269002 | Arthur B Searle | Physical Medicine & Rehabilitation | 1351 W Central Park Ave, Suite 4300, Davenport, IA 52804-1853 | 2005-10-18 |
| 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 |
| 1417269655 | Mahesh Mohan | Physical Medicine & Rehabilitation | 2710 Saint Francis Dr Ste 419, Waterloo, IA 50702-5634 | 2010-07-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.