Organization · Type 2 NPI

Childserve Specialty Hospital, Inc.

Pediatric Rehabilitation Medicine Physician · Johnston, IA

NPI number 1194672592 Active

Practice location

5406 Merle Hay Rd
Johnston, IA 50131-1209

Call (515) 727-8750 Map

Mailing address

PO Box 707
Johnston, IA 50131-0707

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Neuropsychologist 103G00000XNone listed
Behavior Analyst 103K00000XNone listed
Psychologist 103T00000XNone listed
Clinical Social Worker 1041C0700XNone listed
Registered Dietitian 133V00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Pediatric Pulmonology Physician 2080P0214XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Pediatric Rehabilitation Medicine Physician Primary 2081P0010XNone listed
Neurology Physician 2084N0400XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…

218 other providers at this address

About NPI 1194672592

Childserve Specialty Hospital, Inc.'s National Provider Identifier is 1194672592, issued on Mar 13, 2026. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Johnston, IA. The record was last updated on Sep 8, 2026.