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PROACTIVE PEDIATRIC THERAPY, LLC
NPI 1679121933
Clinic/Center - Rehabilitation in Hiawatha, IA

Active since August 29, 2019
1717 BOYSON RD, HIAWATHA, IA 52233(319) 721-9333 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2020, Aug 29, 2019 (2 updates tracked since 2019).

About Proactive Pediatric Therapy, Llc NPPES

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

PROACTIVE PEDIATRIC THERAPY, LLC (NPI 1679121933) is a healthcare organization registered as a rehabilitation in Hiawatha, Iowa and active in the NPI registry since August 2019. The organization lists Lisa Dolphin, Manager, as its authorized official.

NPPES Registry Identity

NPI1679121933
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePROACTIVE PEDIATRIC THERAPY, LLC
Location Address1717 BOYSON RDHiawatha, IA 52233-2313
Mailing Address1717 Boyson RdHiawatha, IA 52233-2313 · (319) 721-9333
Phone(319) 721-9333
Organization SubpartNo
Authorized OfficialLisa DolphinManager · (319) 721-9333
Enumeration DateAugust 29, 2019
Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration
✔ NPI 1679121933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X
Also ListedOccupational Therapist · Feeding, Eating & SwallowingTaxonomy 225XF0002X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
1717 BOYSON RD, Hiawatha, IA 52233
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 19

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

ALEXANDRA ROGGOW SLP- CCC
Speech-Language Pathologist
1717 BOYSON RD
HIAWATHA, IA 52233
Linn County (319) 200-2004
TAYLOR PARK MA, SLP
Speech-Language Pathologist
1717 BOYSON RD
HIAWATHA, IA 52233
Linn County (319) 200-2004
SUZANNE JOHANNES PT
Physical Therapist (Pediatrics)
1717 BOYSON RD
HIAWATHA, IA 52233
Linn County (319) 541-5734
OLIVIA FARRELL MA CCC-SLP
Speech-Language Pathologist
1717 BOYSON RD
HIAWATHA, IA 52233
Linn County (319) 200-2004
EMILY ROTTINGHAUS OTR
Occupational Therapist (Pediatrics)
1717 BOYSON RD
HIAWATHA, IA 52233
Linn County (319) 200-2004
SYDNEY EUCHNER MS, CCC-SLP
Speech-Language Pathologist
1717 BOYSON RD
HIAWATHA, IA 52233
Linn County (319) 200-2004
KAITLYN HESTER OTD, OTR/L
Occupational Therapist (Pediatrics)
1717 BOYSON RD
HIAWATHA, IA 52233
Linn County (319) 200-2004
EMILY BRANDT
Speech-Language Pathologist
1717 BOYSON RD
HIAWATHA, IA 52233
Linn County (319) 200-2004

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 Proactive Pediatric Therapy, LLC's NPI number?

The NPI number for Proactive Pediatric Therapy, LLC is 1679121933. It was assigned to this organization in the NPPES registry on August 29, 2019.

Where is Proactive Pediatric Therapy, LLC located?

Proactive Pediatric Therapy, LLC is located at 1717 Boyson Rd, Hiawatha, IA 52233. The listed phone number is (319) 721-9333.

What is Proactive Pediatric Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

What insurance does Proactive Pediatric Therapy, LLC accept?

Health plans from Medica list Proactive Pediatric Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Proactive Pediatric Therapy, LLC was last updated on February 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.