SPORTS REHAB & PROFESSIONAL THERAPY
NPI 1033289749
Clinic/Center - Rehabilitation in Storm Lake, IA

NPI Status: Active since November 09, 2006

Contact Information

315 W 5TH ST
STORM LAKE, IA
ZIP 50588
Phone: (712) 732-7724
Fax: (712) 560-9253

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation
Accepts Insurance

About SPORTS REHAB & PROFESSIONAL THERAPY

This page provides the complete NPI Profile along with additional information for Sports Rehab & Professional Therapy, a provider established in Storm Lake, Iowa operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1033289749 assigned on November 2006. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Sports Rehab & Professional Therapy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Sports Rehab & Professional Therapy. The authorized official of this NPI record is Theresa Lynn Godfrey (Clinic Admin Director)

NPI: 1033289749
Provider Legal Name: SPORTS REHAB AND PROFESSIONAL THERAPY ASSOCIATES INC
Other Organization Name: SPORTS REHAB & PROFESSIONAL THERAPY
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 315 W 5TH ST STORM LAKE, IA 50588
Location Phone: (712) 732-7724
Location Fax: (712) 560-9253
Mailing Address: 315 W 5TH ST STORM LAKE, IA 50588
Mailing Phone: (712) 732-7724
Mailing Fax: (712) 560-9253
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-09-2006
Last Update Date: 04-18-2024
Code Navigator

Location Map

Secondary Locations

521 Highway 39 Unit 4
Denison, IA 51442
(712) 393-7724
1101 N 2nd St
Cherokee, IA 51012
(712) 225-3344

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rehabilitation
Taxonomy Code: 261QR0400X
Type: Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	224Z00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapy Assistant
2	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist
3	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant
4	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist
5	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Home State Health

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Standard Expanded Bronze - EPO
Standard Expanded Bronze + Vision + Adult Dental - EPO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO
Standard Silver - EPO
Standard Silver + Vision + Adult Dental - EPO

Ambetter from NH Healthy Families

Choice Bronze HSA - EPO
Choice Bronze HSA + Vision + Adult Dental - EPO
Clear Silver - EPO
Clear Silver + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Standard Expanded Bronze - EPO
Standard Expanded Bronze + Vision + Adult Dental - EPO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO
Standard Silver - EPO
Standard Silver + Vision + Adult Dental - EPO

Ambetter from Sunflower Health Plan

Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO
Standard Expanded Bronze - EPO
Standard Expanded Bronze + Vision + Adult Dental - EPO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO
Standard Silver - EPO
Standard Silver + Vision + Adult Dental - EPO

Ambetter Health

Choice Bronze HSA - EPO
Choice Bronze HSA + Vision + Adult Dental - EPO
Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Bronze - EPO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - EPO
Elite Bronze + Vision + Adult Dental - HMO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - EPO
Focused Silver - HMO
Focused Silver + Vision + Adult Dental - EPO
Focused Silver + Vision + Adult Dental - HMO

Ambetter Health of Delaware

Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO
Principal Bronze HSA - EPO
Principal Bronze HSA + Vision + Adult Dental - EPO
Standard Expanded Bronze - EPO
Standard Expanded Bronze + Vision + Adult Dental - EPO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO
Standard Silver - EPO

Avera Health Plans

ConnectPlus $0 Gold - PPO
ConnectPlus $0 Silver - PPO
ConnectPlus $10,600 HSA Eligible HDHP - PPO
ConnectPlus $1800 - PPO
ConnectPlus $4500 - PPO
ConnectPlus $6500 HSA Eligible HDHP - PPO
ConnectPlus $7500 HSA Eligible HDHP - PPO
ConnectPlus MyWeighForward $2000 - PPO
ConnectPlus MyWeighForward $6000 - PPO
ConnectPlus Standard $2000 - PPO
ConnectPlus Standard $6000 - PPO
ConnectPlus Standard $7500 HSA Eligible HDHP - PPO

Medica

Medica Insure Bronze $0 Copay PCP Visits - EPO
Medica Insure Bronze Premier - EPO
Medica Insure Bronze Share - EPO
Medica Insure Expanded Bronze Standard - EPO
Medica Insure Gold $0 Copay PCP Visits - EPO
Medica Insure Gold Share - EPO
Medica Insure Gold Standard - EPO
Medica Insure Silver $0 Copay PCP Visits - EPO
Medica Insure Silver Share - EPO
Medica Insure Silver Standard - EPO

Sanford Health Plan

Sanford Individual Simplicity $1,750 - PPO
Sanford Individual Simplicity $10,600 - PPO
Sanford Individual Simplicity $3,500 - PPO
Sanford Individual Simplicity $4,750 - PPO
Sanford Individual Simplicity $6,500 - PPO
Sanford Individual Simplicity $7,200 HSA Qualified - PPO
Sanford Individual Simplicity Standardized $2,000 - PPO
Sanford Individual Simplicity Standardized $6,000 - PPO
Sanford Individual Simplicity Standardized $7,500 - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: THERESA LYNN GODFREY
Authorized Official Title: CLINIC ADMIN DIRECTOR
Authorized Official Phone: (402) 334-6025

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
0665141	MEDICAID (05)	IA

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033289749, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 9 → 18 → 9 4 → 8