Individual provider Active NPI

Mary-Grace Elizabeth Hupfeld, OTD, OTR/L, ATC, LAT

  • Pediatric Occupational Therapist
  • Altoona, IA
National Provider Identifier
1144969577
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
114182 Issued in IA
Practice address
3770 8TH St SW Ste G&I
Altoona, IA 50009-1048
Phone
(515) 963-4528
NPI assigned
Jun 2, 2022
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NU
Pediatric Occupational Therapist 225XP0200X 114182 IA Primary

Addresses

Primary practice location

3770 8TH St SW Ste G&I
Altoona, IA 50009-1048

Mailing address

3770 8TH St SW Ste G&I
Altoona, IA 50009-1048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209003036 IA Practitioner - Occupational Therapist in Private Practice 2466824982 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. CurrentSince Nov 9, 2022 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Nov 9, 2022 Accepting new patients

Locations

3770 8th St SW
Ste Gi
Altoona, IA 50009
Phone (515) 416-9380

5900 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 278-8151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1144969577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 8TH ST SW STE G&I",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 8TH ST SW STE G&I",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091048",
            "telephone_number": "515-963-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPFELD",
        "first_name": "MARY-GRACE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTD, OTR/L, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IA",
            "license": "114182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.