Active NPI
Myndi Marie Vanvoorst, OCCUPT. THERAPIST
- Occupational Therapist
- Pella, IA
National Provider Identifier
1033176326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01218
- Practice address
- 2525 Washington St
Pella, IA 50219-1553 - Phone
- (641) 621-1401
- Fax
- (641) 628-7308
- NPI assigned
- Apr 28, 2006
- Last updated
- Jan 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01218 | IA | Primary |
Addresses
Primary practice location
2525 Washington St
Pella, IA 50219-1553
Mailing address
2525 Washington St
Pella, IA 50219-1553
Phone (641) 621-1401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01218 | Other | IA | IOWA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1033176326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 WASHINGTON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191553",
"telephone_number": "641-621-1401",
"fax_number": "641-628-7308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 WASHINGTON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191553",
"telephone_number": "641-621-1401",
"fax_number": "641-628-7308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANVOORST",
"first_name": "MYNDI",
"middle_name": "MARIE",
"credential": "OCCUPT. THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA LICENSE",
"identifier": "01218",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.