Samuel Nissly
Samuel Nissly is a Physical Therapist in Private Practice in Grimes, Iowa. Qualified in 2024, 2 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Iowa.
- Years since qualifying
- 2
- Licensed in
- IA
- In the registry since
- 2024
Practice location Address checks out
241 SE Destination Dr Ste 200Grimes, IA 50111-1249
Phone: (515) 986-5190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 126470 (IA) |
|---|
Record details
| NPI number | 1700620051 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 21, 2024 |
| Last updated in NPPES | June 21, 2024 |
| Certification date | June 21, 2024 |
| Mailing address | Po Box 321, Dallas Center, IA 50063-0321 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Athletico Ltd — 2186 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Grimes
-
Amy Kritenbrink
2300 NE 8th St, Grimes, IA 50111-2070 · (515) 205-3603
-
Kody Lueders
241 SE Destination Dr # 200, Grimes, IA 50111-8901 · (515) 986-5190
-
Mercy Clinics, Inc
250 SW Brookside Dr, Grimes, IA 50111-4900 · (515) 244-5005
-
Taylor Mitacek, DPT
241 SE Destination Dr, Grimes, IA 50111-1247 · (515) 986-5190
-
Paul L Ouverson, DPT
270 W 1st St Ste H, Grimes, IA 50111-2145 · (515) 986-9667
-
Jacob Frederick Phillips, DPT
1451 SE 3rd St Ste 500, Grimes, IA 50111-4849 · (515) 986-5190
-
Jacob Lincoln Stearns, DPT
1220 NE Station Xing Ste 105, Grimes, IA 50111-8013 · (515) 984-0075