# PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NORTHEAST IOWA, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528224664
- **Authorized official:** DR. FARID FREDERIK MANSHASI M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (319) 234-0109

## Contact information

- **Practice address:** 1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
- **Practice address phone:** (319) 369-7211
- **Mailing address:** PO BOX 238, WATERLOO, IA 50704-0238
- **Mailing address phone:** (319) 234-0109
- **Mailing address fax:** (319) 234-5774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 27493 | IA | Yes |

## Other

- **Enumeration date:** 07/29/2008
- **Last updated:** 03/09/2024