Jeanne Marie Fung, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

00612 Issued in IA

Practice address

14817 Dellwood Dr
Urbandale, IA 50323-2429

Phone

(515) 229-0629

NPI assigned

Sep 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jeanne Marie Cattau Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297
  Medicare reassignment NPD
• Goodcare Athome Rehab, LLC

  • Physical Therapist
  • Sioux Falls, SD
  • NPI 1891190377

  IA, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1124278635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14817 DELLWOOD DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232429",
            "telephone_number": "515-229-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14817 DELLWOOD DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232429",
            "telephone_number": "515-229-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "00612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "CATTAU",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Freel, D.P.T.
• Ebitari O Fregene, DNP
• McKenzie Friedman
• Amanda Mary Fry, PMHNP-BC
• Kay A Frye, ARNP
• Erik D Furst, PHARMD
• William Jacob Gallaher, DDS
• Holly Jane Gardner, PHARMD
• Ashley Garrin
• Gateway Building Supply Inc

• Occupational Therapist in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.