Individual provider Active NPI

Mary Leann Trana

  • Occupational Therapist
  • Muscatine, IA
National Provider Identifier
1053501940
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001841 Issued in IA
Practice address
2604 2ND Ave
Suite 6
Muscatine, IA 52761-5610
Phone
(563) 262-0253
Fax
(563) 262-8472
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 001841 IA Primary

Addresses

Primary practice location

2604 2ND Ave
Suite 6
Muscatine, IA 52761-5610

Mailing address

1377 11TH St NW
Clinton, IA 52732-5068
Phone (563) 241-4230

Other identifiers 2

IdentifierTypeStateIssuer
0665711MedicaidIA
I21051OtherIAMEDICARE

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

State licenses

LicenseStateTypeSpecialty
001841IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Iowa Physical Therapy, PC Past Accepting new patients
Eastern Iowa Physical Therapy PC Past Accepting new patients
Comprehensive Rehab Incorporated Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1053501940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 11TH ST NW",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325068",
            "telephone_number": "563-241-4230",
            "fax_number": "563-519-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 2ND AVE",
            "address_2": "SUITE 6",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615610",
            "telephone_number": "563-262-0253",
            "fax_number": "563-262-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANA",
        "first_name": "MARY",
        "middle_name": "LEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "001841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665711",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "I21051",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.