Evolutionz Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

License

01501 Issued in IA

Legal business name

EVOLUTIONZ INC

Doing business as

Fein Therapy Services

Practice address

412 NW Irvinedale Dr
Ankeny, IA 50023-8962

Phone

(515) 964-1733

NPI assigned

Jul 25, 2006

Last updated

Jul 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Laurie A Fein, LISWNPI 1902838261

Title

Owner Therapist

Phone

(515) 964-1733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fein Therapy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laurie A Fein, LISW

  • Social Worker
  • Ankeny, IA
  • NPI 1902838261
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1225051196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NW IRVINEDALE DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238962",
            "telephone_number": "515-964-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NW IRVINEDALE DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238962",
            "telephone_number": "515-964-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTIONZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "FEIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "515-964-1733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "01501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469148",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fein Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyecare of Ankeny
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• Social Worker in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.