Rock Valley Physical Therapy Center
NPI 1497712194ActiveOrganization· Physical Therapist· Davenport, IA
Physical Therapist in Davenport, Iowa, registered in NPPES in April 2006. The authorized official on file is Randy E. Boldt, Cfo. Enrolled in Medicare as dme supplier - independently-practicing physical therapist.
Overview
| NPI | 1497712194 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2006 |
| Last updated in NPPES | Feb 11, 2021 |
| Certified by provider | Feb 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | IA |
| Occupational Therapist | 225X00000X | — | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (IA) |
|---|
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