NPI 1194672592 · live from the CMS NPI Registry
Childserve Specialty Hospital, INC.
Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine in Johnston, IA. National Provider Identifier 1194672592, active.
NPI record
| NPI | 1194672592 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine 2081P0010X |
| Practice location | 5406 Merle Hay Rd, Johnston, IA 50131 |
| Practice phone | 515-727-8750 |
| Mailing address | Po Box 707, Johnston, IA 50131 |
| Enumerated | March 13, 2026 |
| Last updated | September 8, 2026 |
| Authorized official | Paige Jaeger, Coo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Clinical Neuropsychologist | 103G00000X | — |
| Behavior Analyst | 103K00000X | — |
| Psychologist | 103T00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Dietitian, Registered | 133V00000X | — |
| Family Medicine | 207Q00000X | — |
| Otolaryngology | 207Y00000X | — |
| Pediatrics, Pediatric Pulmonology | 2080P0214X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine primary | 2081P0010X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | — |
| Community/Behavioral Health | 251S00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.