Active NPI
Julie A Harmon, OTRL
- Occupational Therapist
- Clinton, IA
National Provider Identifier
1235125279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00532
- Practice address
- 931 13TH Ave N
Clinton, IA 52732-5070 - Phone
- (563) 243-7814
- Fax
- (563) 243-2441
- NPI assigned
- Sep 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 00532 | IA | Primary |
| Occupational Therapist | 225X00000X | 056003312 | IL |
Addresses
Primary practice location
931 13TH Ave N
Clinton, IA 52732-5070
Mailing address
850 43Rd Ave
Suite 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other names 1
- Julie Jeffries
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 |
|---|---|---|---|
| 00532 | IA | MD | Occupational Therapist |
| 056003312 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Physical Therapy Services, P.C. | Past | Accepting new patients | |
| Clinton Physical Therapy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Clinton, IA
- NPI 1427238351
-
- Physical Therapist
- Clinton, IA
- NPI 1548271612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1235125279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 43RD AVE",
"address_2": "SUITE 100",
"city": "MOLINE",
"state": "IL",
"postal_code": "612658401",
"telephone_number": "309-743-2070",
"fax_number": "309-743-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 13TH AVE N",
"city": "CLINTON",
"state": "IA",
"postal_code": "527325070",
"telephone_number": "563-243-7814",
"fax_number": "563-243-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "JULIE",
"middle_name": "A",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "00532",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056003312",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "JEFFRIES",
"credential": "OTRL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.