Active NPI
Brenda Sue Peiffer Coram, OTR/L
- Occupational Therapist
- Ottumwa, IA
National Provider Identifier
1144687427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00668
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Asl, LLC | Current | Accepting new patients | |
| Empowerme Asl, LLC | Occupational Therapist | Current | Accepting new patients |
| Fox Rehab OT Ia LLC | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Norwalk, IA
- NPI 1073274585
-
- Multi-Specialty Clinic/Center
- Fort Madison, IA
- NPI 1376138305
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Grand Island, NE
- NPI 1447944657
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.