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

Michael Donnelly

Individual provider Physical Therapist · NPI 1447669528

Michael Donnelly is a Physical Therapist in Private Practice in Waterloo, Iowa. Qualified in 2014, 12 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
12
Licensed in
IA, NE
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1111 Ansborough Ave
Waterloo, IA 50701
Phone: (319) 433-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3830 N 167th Ct, Omaha, NE 68116-8067 — (402) 502-2290
  • 3830 N 167th Ct, Omaha, NE 68116-8067 — (402) 502-2290

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 096251 (IA)
Physical Therapist Taxonomy 225100000X · Licence 3390 (NE)

Record details

NPI number1447669528
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2014
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Waterloo