Individual provider Active NPI

Amy Mekemson

  • Occupational Therapy Assistant
  • Ames, IA
National Provider Identifier
1124765615
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA-047074 Issued in AZ
Practice address
2210 Hamilton Dr
Ames, IA 50014-8287
Phone
(515) 357-5000
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA-047074 AZ Primary

Addresses

Primary practice location

2210 Hamilton Dr
Ames, IA 50014-8287

Mailing address

PO Box 50218
Phoenix, AZ 85076-0218
Phone (480) 398-4280

Other practice location 1

2150 S Country Club Dr Ste 20
Mesa, AZ 85210-6879
Phone (480) 398-4280

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.mekemson@pillerchilddevelopment.com

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
OTA-047074AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piller Child Development LLC PastSince May 1, 2022 Accepting new patients
Green Hills Health Care Center, Inc PastSince Dec 1, 2024 Accepting new patients
Piller Child Development PastSince May 1, 2022 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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1124765615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760218",
            "telephone_number": "480-398-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 HAMILTON DR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500148287",
            "telephone_number": "515-357-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 S Country Club Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106879",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEKEMSON",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-047074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.mekemson@pillerchilddevelopment.com",
            "affiliation": "N",
            "address_1": "2150 S Country Club Dr Ste 20",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852106879",
            "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 Nov 29, 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.