Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physical Medicine & Rehabilitation Associates of Northeast Iowa Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1659564664

Physical Medicine & Rehabilitation Associates of Northeast Iowa Inc is a Physical Medicine & Rehabilitation Physician in Waterloo, Iowa. Licensed in Iowa. Registered with an NPI since 2007.

Licensed in
IA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

36 W Park Ln
Waterloo, IA 50701-5178
Phone: (319) 234-0109
Fax: (319) 234-5774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 27493 (IA)
Nurse Practitioner Taxonomy 363L00000X · Licence J-054600 (IA)

Record details

NPI number1659564664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farid Manshadi — President · (319) 234-0109
NPI enumeratedAugust 22, 2007
Last updated in NPPESMay 12, 2014
Mailing address36 W Park Ln, Waterloo, IA 50701-5178

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