IMMERSIVE MEDICAL THERAPY LLC
NPI 1063356160
General Practice in Washington, IA

Active since April 17, 2026
1830 HIGHWAY 1, WASHINGTON, IA 52353(319) 333-4354 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Apr 17, 2026 (2 updates tracked since 2026).

About Immersive Medical Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMERSIVE MEDICAL THERAPY LLC (NPI 1063356160) is a healthcare organization registered as a general practice in Washington, Iowa and active in the NPI registry since April 2026. The organization lists Lindsey Van Duyn, Owner, as its authorized official.

NPPES Registry Identity

NPI1063356160
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameIMMERSIVE MEDICAL THERAPY LLC
Location Address1830 HIGHWAY 1Washington, IA 52353-9259
Mailing Address120 E Main St # 10Washington, IA 52353-2057 · (319) 333-4354
Organization SubpartNo
Authorized OfficialLindsey Van DuynOwner · (319) 333-4354
Enumeration DateApril 17, 2026
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1063356160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1830 HIGHWAY 1, Washington, IA 52353

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Immersive Medical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Immersive Medical Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1871975185
1314 S STUART ST STE B
Sigourney, IA 52591
(641) 622-1170
✔ PECOS✔ Accepts Medicare28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Immersive Medical Therapy LLC's NPI number?

The NPI number for Immersive Medical Therapy LLC is 1063356160. It was assigned to this organization in the NPPES registry on April 17, 2026.

Where is Immersive Medical Therapy LLC located?

Immersive Medical Therapy LLC is located at 1830 Highway 1, Washington, IA 52353. The listed phone number is (319) 333-4354.

What is Immersive Medical Therapy LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Immersive Medical Therapy LLC enrolled in Medicare?

Yes. Immersive Medical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Immersive Medical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Immersive Medical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Immersive Medical Therapy LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.