Proactive Pediatric Therapy, LLC
NPI 1679121933 · Rehabilitation Clinic/Center · Hiawatha, IA
Enrolled with Medicare as Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Proactive Pediatric Therapy, LLC is a Rehabilitation Clinic/Center organization in Hiawatha, IA (NPI 1679121933).
Provider details
- NPI number
- 1679121933
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Dolphin, Manager(319) 721-9333
Specialties & taxonomies
Ambulatory Health Care Facilities
- Lactation Consultant (Non-RN)174N00000X
Other Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-29
- Last updated
- 2020-02-26
- Certified
- 2020-02-26
Frequently asked questions
- What is Proactive Pediatric Therapy, LLC's NPI number?
- Proactive Pediatric Therapy, LLC's National Provider Identifier (NPI) is 1679121933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive Pediatric Therapy, LLC?
- Proactive Pediatric Therapy, LLC is classified in the NPPES registry as Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proactive Pediatric Therapy, LLC located?
- Proactive Pediatric Therapy, LLC's practice location on file with NPPES is 1717 Boyson Rd, Hiawatha, IA 52233-2313.
- What is Proactive Pediatric Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Proactive Pediatric Therapy, LLC is (319) 721-9333.
- Does Proactive Pediatric Therapy, LLC accept Medicare?
- Proactive Pediatric Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Proactive Pediatric Therapy, LLC?
- The authorized official listed on Proactive Pediatric Therapy, LLC's NPPES record is Lisa Dolphin, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive Pediatric Therapy, LLC's NPI active?
- Yes — Proactive Pediatric Therapy, LLC's NPI (1679121933) is active in the NPPES registry as of the last update on 2020-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.