Active NPI
Amy Marlow, OT
- Occupational Therapist
- Spirit Lake, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 679
- Practice address
- 1380 Lake St
Spirit Lake, IA 51360-1100 - Phone
- (712) 336-8404
- Fax
- (712) 546-1770
- NPI assigned
- Oct 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 679 | IA | Primary |
Addresses
Primary practice location
1380 Lake St
Spirit Lake, IA 51360-1100
Mailing address
1380 Lake St
Spirit Lake, IA 51360-1100
Phone (712) 336-8404
Other names 1
- Amy Bierstedt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 W 6TH St
Spencer, IA 51301-3906
Phone (712) 580-5008
612 S Hwy 71
Unit 2 Okoboji Physical Therapy
Arnolds Park, IA 51331-7833
Phone (712) 336-8404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00679 | IA | MD | Mental Health Counselor |
| 679 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Physical Therapy Holding Company LLC | Occupational Therapist | Current | Accepting new patients |
| Hometown Physical Therapy Holding Company LLC | Occupational Therapist | Current | Accepting new patients |
| Lemars Physical Therapy, PLLC | Past | Accepting new patients |
Locations
612 S Highway 71
Unit 2
Arnolds Park, IA 51331
Phone (712) 336-8404
20 W 6th St
Ste 101
Spencer, IA 51301
Phone (712) 580-5008
1380 Lake St
Spirit Lake, IA 51360
Phone (320) 226-6346
Organizations & group practices 3
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.
-
dba OkobojiPhysicalTherapy,SpencerPhysicalTherapy,EastVillagePhysicalThera
- Physical Therapist
- Milford, IA
- NPI 1861836454
Occupational Therapist
-
dba East Village Physical Therapy
- Physical Therapist
- Des Moines, IA
- NPI 1952283947
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1255702783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 LAKE ST",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513601100",
"telephone_number": "712-336-8404",
"fax_number": "712-546-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 LAKE ST",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513601100",
"telephone_number": "712-336-8404",
"fax_number": "712-546-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLOW",
"first_name": "AMY",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-09",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "BIERSTEDT",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spirit Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.