OrganizationActive
Proactive Pediatric Therapy, LLC
NPI 1679121933 · Rehabilitation Clinic/Center · Hiawatha, IA
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
Practice location
1717 Boyson Rd
Hiawatha, IA 52233-2313
Phone: (319) 721-9333
Approximate (ZIP-level) locationGet directions
Mailing address
1717 Boyson Rd
Hiawatha, IA 52233-2313
Registry dates
- Enumerated
- 2019-08-29
- Last updated
- 2020-02-26
- Certified
- 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.