Provider Demographics
NPI:1386897676
Name:ORANGE CITY PHYSICAL THERAPY, L.L.C
Entity type:Organization
Organization Name:ORANGE CITY PHYSICAL THERAPY, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:AALBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MPT, ATC
Authorized Official - Phone:712-441-6287
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-0024
Mailing Address - Country:US
Mailing Address - Phone:712-441-6287
Mailing Address - Fax:
Practice Address - Street 1:101 3RD ST NW
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1307
Practice Address - Country:US
Practice Address - Phone:712-441-6287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03855261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
32640OtherWELLMARK
IA1386897676Medicare NSC