Individual provider Active NPI

Brenda Sue Peiffer Coram, OTR/L

  • Occupational Therapist
  • Ottumwa, IA
National Provider Identifier
1144687427
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
00668 Issued in IA
Practice address
13 Bear Creek Estates Dr
Ottumwa, IA 52501-8996
Phone
(641) 680-5264
NPI assigned
Jan 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00668 IA
Physical Rehabilitation Occupational Therapist 225XP0019X 00668 IA
Occupational Therapist 225X00000X 00668 IA Primary

Addresses

Primary practice location

13 Bear Creek Estates Dr
Ottumwa, IA 52501-8996

Mailing address

13 Bear Creek Estates Dr
Ottumwa, IA 52501-8996
Phone (641) 680-5264

Other names 1

  • Brenda Coram Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822000796 IA Practitioner - Occupational Therapist in Private Practice 9638323199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab OT Ia LLCGroup PAC ID 5890180814, 52 clinicians

Practice addresses (Care Compare)

2901 Cedar St
Norwalk, IA 50211-9736
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Asl, LLC CurrentSince Aug 1, 2024 Accepting new patients
Empowerme Asl, LLC Occupational Therapist CurrentSince Aug 1, 2024 Accepting new patients
Fox Rehab OT Ia LLC Occupational Therapist CurrentSince Oct 1, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

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": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1144687427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BEAR CREEK ESTATES DR",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525018996",
            "telephone_number": "641-680-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BEAR CREEK ESTATES DR",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525018996",
            "telephone_number": "641-680-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIFFER CORAM",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "00668",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IA",
            "license": "00668",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "00668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "CORAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.