Individual provider Active NPI

Jerry Pumphrey, OTR/L

  • Occupational Therapist
  • Ankeny, IA
National Provider Identifier
1255893582
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
095511 Issued in IA
Practice address
350 NE 36TH St
Ankeny, IA 50021-6728
Phone
(515) 224-1414
Fax
(515) 224-5140
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 124053 TX
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 095511 IA Primary

Addresses

Primary practice location

350 NE 36TH St
Ankeny, IA 50021-6728

Mailing address

350 NE 36TH St
Ankeny, IA 50021-6728
Phone (515) 224-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190507002863 IA Practitioner - Occupational Therapist in Private Practice 2466794755 Reassigns benefits to 4 organizations
I20240510002376 OR Practitioner - Occupational Therapist in Private Practice 2466794755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 NE 36TH St
Ankeny, IA 50021-6728
Phone (515) 224-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095511IAMDOccupational Therapist
124053TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Physio LLC Occupational Therapist CurrentSince Aug 12, 2020 Accepting new patients
Salem Health CurrentSince Apr 29, 2024 Accepting new patients
Des Moines Orthopaedic Surgeons PC CurrentSince Feb 26, 2025 Accepting new patients
Salem Health Current Accepting new patients
Central Iowa Physio LLC Current Accepting new patients
Des Moines Orthopaedic Surgeons PC CurrentSince Feb 26, 2025 Accepting new patients
Physiotherapy Assoicates, Inc. CurrentSince Apr 7, 2021 Accepting new patients
Physiotherapy Associates Inc CurrentSince Apr 7, 2021 Accepting new patients
Salem Health CurrentSince Apr 29, 2024 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Central Iowa Physio, LLC CurrentSince Aug 12, 2020 Accepting new patients

Locations

350 NE 36th St
Ankeny, IA 50021
Phone (515) 224-1414

1301 Pennsylvania Ave
Ste 213
Des Moines, IA 50316
Phone (515) 224-1414

1301 Pennsylvania Ave
Des Moines, IA 50316
Phone (515) 224-1414

5900 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 278-8151

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

4850 100th St
Urbandale, IA 50322
Phone (515) 224-1414

6001 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-1414

9500 University Ave
Ste 1116
West Des Moines, IA 50266
Phone (515) 987-9012

1600 State St
Salem, OR 97301
Phone (503) 540-6472

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

Organizations & group practices 12

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1255893582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NE 36TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500216728",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NE 36TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500216728",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "JERRY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124053",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "095511",
            "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 Mar 19, 2025; 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.