Active NPI
Elizabeth Marie Bracciano, OT
- Occupational Therapist
- Ankeny, IA
National Provider Identifier
1134640600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 087711
- Practice address
- 350 NE 36TH St
Ankeny, IA 50021-6728 - Phone
- (515) 224-1414
- Fax
- (515) 224-5140
- NPI assigned
- Jul 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 087711 | IA | Primary |
Addresses
Primary practice location
350 NE 36TH St
Ankeny, IA 50021-6728
Mailing address
6001 Westown Pkwy
West Des Moines, IA 50266-7702
Phone (515) 224-1414
Other practice location 1
6001 Westown Pkwy
West Des Moines, IA 50266-7719
Phone (515) 224-1414
Other practice location 2
1301 Pennsylvania Ave Ste 213
Des Moines, IA 50316-2365
Phone (515) 224-1414
Other practice location 3
4850 100th St
Urbandale, IA 50322-7212
Phone (515) 224-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 72.25 of 100
- Quality
- 80.42
- Promoting interoperability
- 39
- Improvement activities
- 40
- Cost
- 77.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087711 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1134640600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 WESTOWN PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502667702",
"telephone_number": "515-224-1414",
"fax_number": "515-224-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NE 36TH ST",
"city": "ANKENY",
"state": "IA",
"postal_code": "500216728",
"telephone_number": "515-224-1414",
"fax_number": "515-224-5140"
}
],
"practiceLocations": [
{
"address_1": "6001 Westown Pkwy",
"address_purpose": "LOCATION",
"city": "West Des Moines",
"state": "IA",
"postal_code": "502667719",
"country_code": "US",
"telephone_number": "515-224-1414",
"fax_number": "515-224-5140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 Pennsylvania Ave Ste 213",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503162365",
"country_code": "US",
"telephone_number": "515-224-1414",
"fax_number": "515-224-5140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4850 100th St",
"address_purpose": "LOCATION",
"city": "Urbandale",
"state": "IA",
"postal_code": "503227212",
"country_code": "US",
"telephone_number": "515-224-1414",
"fax_number": "515-224-5140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRACCIANO",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "087711",
"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 Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.