Individual provider Active NPI

Michele Patricia Poss, PT

  • Orthopedic Physical Therapist
  • West Des Moines, IA
National Provider Identifier
1215028600
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
004711 Issued in IA
Practice address
4875 Mills Civic Pkwy
West Des Moines, IA 50265-5268
Phone
(515) 440-6700
Fax
(515) 440-6715
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 004711 IA Primary

Addresses

Primary practice location

4875 Mills Civic Pkwy
West Des Moines, IA 50265-5268

Mailing address

4875 Mills Civic Pkwy
West Des Moines, IA 50265-5268
Phone (515) 440-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004711IAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1215028600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 MILLS CIVIC PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655268",
            "telephone_number": "515-440-6700",
            "fax_number": "515-440-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 MILLS CIVIC PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655268",
            "telephone_number": "515-440-6700",
            "fax_number": "515-440-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSS",
        "first_name": "MICHELE",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IA",
            "license": "004711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.