Individual provider Active NPI

Maggie Kathryn Rolf, COTA/L

  • Occupational Therapy Assistant
  • Ames, IA
National Provider Identifier
1114505047
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
1315 S Bell Ave Ste 108
Ames, IA 50010-7730
Phone
(515) 337-0343
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

1315 S Bell Ave Ste 108
Ames, IA 50010-7730

Mailing address

3545 Lake Ave Ste 200
Wilmette, IL 60091-1058
Phone (847) 386-6560

Other identifiers 1

IdentifierTypeStateIssuer
1518478684OtherPRIVATE INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CentralReach

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

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Therapy Centers Behavior Technician CurrentSince Dec 24, 2023 Accepting new patients
Kick Start PastSince Jan 7, 2024 Accepting new patients
KP Enterprises Iowa PastSince Apr 6, 2021 Accepting new patients

Locations

1315 S Bell Ave
Ste 108
Ames, IA 50010
Phone (515) 337-0343

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1114505047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 LAKE AVE STE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911058",
            "telephone_number": "847-386-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S BELL AVE STE 108",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500107730",
            "telephone_number": "515-337-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLF",
        "first_name": "MAGGIE",
        "middle_name": "KATHRYN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "1518478684",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CentralReach",
            "affiliation": "N",
            "address_1": "1315 S Bell Ave Ste 108",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500107730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.