IOWA PARK PHYSICAL THERAPY
NPI 1164609186
Physical Therapist in Iowa Park, TX
- Organization
- Physical Therapist
- CLIA Number: 45D2083154
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 11-17-2026
About IOWA PARK PHYSICAL THERAPY
This page provides the complete NPI Profile along with additional information for Iowa Park Physical Therapy, a provider established in Iowa Park, Texas operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1164609186 assigned on January 2008. The practitioner's primary taxonomy code is 225100000X with license number 1065332 (TX). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Gina Lynette Blackerby P.t. (Owner/physical Therapist)
- NPI
- 1164609186 Verify this NPI
- Provider Name
- IOWA PARK PHYSICAL THERAPY
- Entity Type
- Organization
- Location Address
- 620 WEST BANK STREET IOWA PARK, TX 76367
- Location Phone
- (940) 592-5900
- Location Fax
- (940) 592-5969
- Mailing Address
- 620 WEST BANK IOWA PARK, TX 76367
- Mailing Phone
- (940) 592-5900
- Mailing Fax
- (940) 592-5969
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-22-2008
- Last Update Date
- 01-22-2008
- Code Navigator
Location Map
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
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 1065332
- License State
- TX
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
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.
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 |
|---|---|---|---|
| 00516Z | MEDICARE PIN (08) | TX | |
| 1689679466 | OTHER (01) | TX | PROVIDER NPI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2083154
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- November 18, 2024
- Certificate Expiration Date
- November 17, 2026
- Laboratory Director
- ALLISON STAPLETON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Iowa Park Physical Therapy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for IOWA PARK PHYSICAL THERAPY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164609186, enumerated as an "organization" on January 22, 2008.
The provider is located at 620 WEST BANK STREET IOWA PARK, TX 76367 and the phone number is (940) 592-5900.
Physical Therapist with taxonomy code 225100000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
