Individual provider Active NPI

Olivia Rose Harrell, OTD, OTR/L

  • Occupational Therapist
  • Altoona, IA
National Provider Identifier
1073126645
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2720 8TH St SW
Altoona, IA 50009-1050
Phone
(515) 957-3663
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 101810 IA
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

2720 8TH St SW
Altoona, IA 50009-1050

Mailing address

2943 Lund St
Norwalk, IA 50211-3001
Phone (515) 402-6443

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://update.fusionwebclinic.com/
SOAP URL epic

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018002264 IA Practitioner - Occupational Therapist in Private Practice 6305291840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Younker Rehabilitation Therapy Services, LLC Occupational Therapist CurrentSince Sep 16, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Turning Wheels Pediatric Therapy PC PastSince Aug 1, 2020 Accepting new patients
Iowa Physicians Clinic Medical Foundation PastSince Sep 16, 2023 Accepting new patients

Locations

2720 8th St SW
Ste B
Altoona, IA 50009
Phone (515) 957-3663

2720 8th St SW
Altoona, IA 50009
Phone (515) 957-8609

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

Interoperability endpoints

  • Direct secure messaging: oharrell986272@direct.unitypoint.org

Organizations & group practices 4

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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1073126645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 LUND ST",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502113001",
            "telephone_number": "515-402-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 8TH ST SW",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091050",
            "telephone_number": "515-957-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "OLIVIA",
        "middle_name": "ROSE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IA",
            "license": "101810",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://update.fusionwebclinic.com/",
            "affiliation": "N",
            "endpointDescription": "electronic EMR",
            "address_1": "225 W Roosevelt Rd",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601875264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "epic",
            "affiliation": "N",
            "endpointDescription": "electronic EMR",
            "address_1": "2720 8th St SW",
            "city": "Altoona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500091050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.