ROCK VALLEY PHYSICAL THERAPY CENTER
NPI 1790828457
Physical Therapist in West Des Moines, IA

NPI Status: Active since February 14, 2007

Contact Information

5700 UNIVERSITY AVE
SUITE 222
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 221-1621
Fax: (515) 221-1626

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NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Physical Therapist
  • CLIA Number: 14D2070640
  • CLIA Cert. Type: Other - CORPORATE WELLNESS PROGRA
  • CLIA Exp. Date: 12-19-2025

About ROCK VALLEY PHYSICAL THERAPY CENTER

This page provides the complete NPI Profile along with additional information for Rock Valley Physical Therapy Center, a provider established in West Des Moines, Iowa operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1790828457 assigned on February 2007. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Rock Valley Physical Therapy Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Randy E Boldt (Cfo)

NPI
1790828457
Provider Name
ROCK VALLEY PHYSICAL THERAPY CENTER
Entity Type
Organization
Location Address
5700 UNIVERSITY AVE SUITE 222 WEST DES MOINES, IA 50266
Location Phone
(515) 221-1621
Location Fax
(515) 221-1626
Mailing Address
850 43RD AVE SUITE 100 MOLINE, IL 61265
Mailing Phone
(309) 743-2070
Mailing Fax
(309) 743-2073
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2007
Last Update Date
08-04-2008
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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 State
IA
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.
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.

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
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

(IA)

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:

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.

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

RANDY E BOLDT

Authorized Official Title
CFO
Authorized Official Phone
(309) 743-2070

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
0565937MEDICAID (05)IA 
I18344MEDICARE ID-TYPE UNSPECIFIED (04)IAGROUP BILLING #
0254560007MEDICARE NSC (07)IA 

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
14D2070640
Facility Type
Other - CORPORATE WELLNESS PROGRA
Certificate Effective Date
December 20, 2023
Certificate Expiration Date
December 19, 2025
Laboratory Director
KENNETH J. ASTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rock Valley Physical Therapy Center 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.

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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 1790828457, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 9 → 18 → 9 8 → 16 → 7 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 6 + 2 + 1 + 6 + 4 + 1 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1790828457.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapist
5700 UNIVERSITY AVE, STE 222
WEST DES MOINES, IA 50266
Occupational Therapist
5700 UNIVERSITY AVE, SUITE 222
WEST DES MOINES, IA 50266
Physical Therapist
5700 UNIVERSITY AVE, STE 222
WEST DES MOINES, IA 50266
Physical Therapist
5700 UNIVERSITY AVE, SUITE 222
WEST DES MOINES, IA 50266
Physical Therapist
5700 UNIVERSITY AVE, SUITE 222
WEST DES MOINES, IA 50266

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790828457, enumerated as an "organization" on February 14, 2007.

The provider is located at 5700 UNIVERSITY AVE SUITE 222 WEST DES MOINES, IA 50266 and the phone number is (515) 221-1621.

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.