Individual provider Active NPI

Peter Andrew Otool, DC

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1124828793
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
130300 Issued in IA
Practice address
2201 W 1St St Ste a
Ankeny, IA 50023-2484
Phone
(712) 830-4451
NPI assigned
Mar 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 130300 IA Primary

Addresses

Primary practice location

2201 W 1St St Ste a
Ankeny, IA 50023-2484

Mailing address

2201 W 1St St Ste a
Ankeny, IA 50023-2484
Phone (712) 830-4451

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
130300IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Way Ankeny LLC Chiropractor CurrentSince Mar 20, 2025 Accepting new patients

Locations

2201 W 1st St
Ste A
Ankeny, IA 50023
Phone (515) 612-1865

Organizations & group practices 1

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": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1124828793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W 1ST ST STE A",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232484",
            "telephone_number": "712-830-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W 1ST ST STE A",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232484",
            "telephone_number": "712-830-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOOL",
        "first_name": "PETER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "130300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.