Jonathan Patrick Bopes, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Pella, IA
NPI 1164069217 · NPPES record last updated Dec 9, 2019
Key facts
- NPI
- 1164069217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 098384 (IA)
- Practice address
- 500 Jefferson St Ste B
Pella, IA 50219-1255 - Phone
- (641) 628-6623
- NPI assigned
- Dec 9, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098384 | IA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 098384 | IA | Yes |
Addresses
Primary practice location
500 Jefferson St Ste B
Pella, IA 50219-1255
Mailing address
6950 Stagecoach Dr Unit 1506
West Des Moines, IA 50266-3886
Phone (563) 212-5156
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.