Active NPI
Katlin Jo Van Peursem, OT
- Occupational Therapist
- Sheldon, IA
National Provider Identifier
1215451877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 087403
- Practice address
- 800 Oak Street
Sheldon, IA 51201-1235 - Phone
- (712) 324-6151
- Fax
- (712) 324-6170
- NPI assigned
- Jul 26, 2017
- Last updated
- Aug 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 087403 | IA | Primary |
Addresses
Primary practice location
800 Oak Street
Sheldon, IA 51201-1235
Mailing address
118 N. 7TH Avenue
Sheldon, IA 51201-1235
Phone (712) 324-6169
Other names 1
- Katlin Jo Wiertsema
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
| License | State | Type | Specialty |
|---|---|---|---|
| 087403 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1215451877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N. 7TH AVENUE",
"city": "SHELDON",
"state": "IA",
"postal_code": "512011235",
"telephone_number": "712-324-6169",
"fax_number": "712-324-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OAK STREET",
"city": "SHELDON",
"state": "IA",
"postal_code": "512011235",
"telephone_number": "712-324-6151",
"fax_number": "712-324-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN PEURSEM",
"first_name": "KATLIN",
"middle_name": "JO",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "087403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATLIN",
"last_name": "WIERTSEMA",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sheldon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.