Individual provider Active NPI

Amy Marlow, OT

  • Occupational Therapist
  • Spirit Lake, IA
National Provider Identifier
1255702783
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
679 Issued in IA
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

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151013000714 IA Practitioner - Occupational Therapist in Private Practice 6305155474 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
00679IAMDMental Health Counselor
679IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Physical Therapy Holding Company LLC Occupational Therapist CurrentSince Oct 1, 2015 Accepting new patients
Hometown Physical Therapy Holding Company LLC Occupational Therapist CurrentSince Oct 1, 2015 Accepting new patients
Lemars Physical Therapy, PLLC PastSince Jan 29, 2016 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.

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.

Verify at the official NPI Registry.