Organization Active NPI

OT Integrated Health, LLC

  • Occupational Therapist
  • Davenport, IA
National Provider Identifier
1174943922
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
00835 Issued in IA
Legal business name
OT INTEGRATED HEALTH, LLC
Practice address
2206 E 52ND St Ste a
Davenport, IA 52807-2790
Phone
(563) 355-7411
Fax
(563) 355-7431
NPI assigned
Apr 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Tammy R Conner
Title
President
Phone
(563) 355-7411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 00835 IA Primary

Addresses

Primary practice location

2206 E 52ND St Ste a
Davenport, IA 52807-2790

Mailing address

2206 E 52ND St Ste a
Davenport, IA 52807-2790
Phone (563) 355-7411

Other identifiers 1

IdentifierTypeStateIssuer
00835OtherIAIOWA LICENSE

National Provider Directory

National Provider Directory

Locations

2206 E 52nd St
Ste A
Davenport, IA 52807
Phone (563) 340-8979

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1174943922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 E 52ND ST STE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072790",
            "telephone_number": "563-355-7411",
            "fax_number": "563-355-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 E 52ND ST STE A",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072790",
            "telephone_number": "563-355-7411",
            "fax_number": "563-355-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT INTEGRATED HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-355-7411"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "00835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "00835",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.