Madison C Groneck, MOTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

002129 Issued in IA

Practice address

1552 Mall Drive
Iowa City, IA 52240

Phone

(319) 351-5437

Fax

(319) 351-5432

NPI assigned

Jun 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1255625810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 MALL DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 MALL DRIVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240",
            "telephone_number": "319-351-5437",
            "fax_number": "319-351-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONECK",
        "first_name": "MADISON",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IA",
            "license": "002129",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201007929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel W Groeneweg, CRNA
• Kelli J Groeneweg, CRNA
• Kara Groenewold, PT
• Rebecca Megan Groher-Jick
• Rachel Elizabeth Grolmus, PHARMD
• Nancy Louise Gronewold, D.C.
• Juliana Marene Gronseth
• Barbara A Gronstal, ARNP
• Charles F Grose, MD
• Lisa Christine Gross, RN

• Pediatric Occupational Therapist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Pediatric Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.