ROCK VALLEY PHYSICAL THERAPY CENTER
NPI 1104056548
Physical Therapist in Moline, IL

Active since July 20, 2009CLIA 14D2070640 · Waiver
4439 AVENUE OF THE CITIES, MOLINE, IL 61265(309) 743-0106 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rock Valley Physical Therapy Center NPPES

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

ROCK VALLEY PHYSICAL THERAPY CENTER (NPI 1104056548) is a healthcare organization registered as a physical therapist in Moline, Illinois and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Randy E Boldt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104056548
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameROCK VALLEY PHYSICAL THERAPY CENTER
Location Address4439 AVENUE OF THE CITIESMoline, IL 61265-4549
Mailing Address850 43rd Ave, Suite 100Moline, IL 61265-8401 · (309) 743-2070 · Fax (309) 743-2073
Organization SubpartNo
Authorized OfficialRandy E BoldtCfo · (309) 743-2070
Enumeration DateJuly 20, 2009
Last NPPES UpdateJanuary 25, 2011
NPI 1104056548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
4439 AVENUE OF THE CITIES, Moline, IL 61265

Other Identifiers 3

Other555650IL · Group Billing # For O.t,
Medicare NSC0254560017IL
Other555640IL · Group Billing # For P.t.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2070640

Rock Valley Physical Therapy · Moline, IL
Active · expires Dec 19, 2027
CLIA Number14D2070640
Laboratory TypeCorporate Wellness Progra
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorKenneth J. Asta
Laboratory Phone(309) 743-2070
Laboratory LocationRock Valley Physical Therapy850 43rd Ave, Ste 100, Moline, IL 61265
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4439 AVENUE OF THE CITIES
MOLINE, IL 61265
Physical Therapist
4439 AVENUE OF THE CITIES
MOLINE, IL 61265
Physical Therapist
4439 AVENUE OF THE CITIES
MOLINE, IL 61265
Physical Therapist
4439 AVENUE OF THE CITIES
MOLINE, IL 61265
Physical Therapist
4439 AVENUE OF THE CITIES
MOLINE, IL 61265
Physical Therapist
4439 AVENUE OF THE CITIES
MOLINE, IL 61265

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 Rock Valley Physical Therapy Center's NPI number?

The NPI number for Rock Valley Physical Therapy Center is 1104056548. It was assigned to this organization in the NPPES registry on July 20, 2009.

Where is Rock Valley Physical Therapy Center located?

Rock Valley Physical Therapy Center is located at 4439 Avenue Of The Cities, Moline, IL 61265. The listed phone number is (309) 743-0106.

What is Rock Valley Physical Therapy Center's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Does Rock Valley Physical Therapy Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2070640) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rock Valley Physical Therapy Center was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.