OrganizationActive
Sovereign Grace Therapy
NPI 1679979280 · Physical Therapist · Burlington, IA
Provider details
- NPI number
- 1679979280
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Sanjee Benjamin Ang, Founder(319) 601-9768
- License
- 03690 (IA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1850 Sunnyside Ave
Burlington, IA 52601-4423
Phone: (319) 601-9768
Street-level locationGet directions
Mailing address
1850 Sunnyside Ave
Burlington, IA 52601-4423
Registry dates
- Enumerated
- 2014-11-08
- Last updated
- 2014-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.