Organization Active NPI

Virtue Occupational Therapy LLC

  • Occupational Therapist
  • Ankeny, IA
National Provider Identifier
1235218587
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
01234 Issued in IA
Legal business name
VIRTUE OCCUPATIONAL THERAPY LLC
Practice address
605 NE Lowell Dr
Ankeny, IA 50021-4701
Phone
(515) 988-3881
Fax
(515) 965-0841
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Jenny Lyn Shepherd, O T R L
Title
Pres and Owner
Phone
(515) 988-3881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 01234 IA Primary

Addresses

Primary practice location

605 NE Lowell Dr
Ankeny, IA 50021-4701

Mailing address

2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110927000874 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002815586 Receives reassigned benefits from 1 practitioner
Practice locations: Ankeny, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1235218587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 NE LOWELL DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214701",
            "telephone_number": "515-988-3881",
            "fax_number": "515-965-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUE OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRES AND OWNER",
        "authorized_official_telephone_number": "515-988-3881",
        "authorized_official_credential": "O T R  L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.