Individual provider Active NPI

Hanna Jo Risse, OTD, OTR/L

  • Occupational Therapist
  • Johnston, IA
National Provider Identifier
1073395034
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
123085 Issued in IA
Practice address
6901 Peckham St
Johnston, IA 50131-3143
Phone
(515) 253-2500
NPI assigned
Oct 16, 2023
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 123085 IA Primary

Addresses

Primary practice location

6901 Peckham St
Johnston, IA 50131-3143

Mailing address

404 E Ashland Ave
Indianola, IA 50125-2614
Phone (319) 415-4628

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123085IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brio of Johnston, LLC PastSince Oct 22, 2023 Accepting new patients
Jana Poock DPM PC Multi-Specialty PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1073395034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E ASHLAND AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252614",
            "telephone_number": "319-415-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PECKHAM ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501313143",
            "telephone_number": "515-253-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISSE",
        "first_name": "HANNA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "123085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.