Active NPI
Kassidy Hackbarth
- Occupational Therapist
- Jefferson, IA
National Provider Identifier
1265356174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 140511
- Practice address
- 1000 W Lincoln Way
Jefferson, IA 50129-1685 - Phone
- (515) 386-4284
- Fax
- (515) 465-1153
- NPI assigned
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 140511 | IA | Primary |
Addresses
Primary practice location
1000 W Lincoln Way
Jefferson, IA 50129-1685
Mailing address
PO Box 461
Nevada, IA 50201-0461
Phone (515) 382-3366
Other practice location 1
640 S 19th St
Nevada, IA 50201-2902
Phone (515) 382-7008
Other practice location 2
2350 Hospital Dr
Webster City, IA 50595-6600
Phone (515) 832-7735
Other names 1
- Kassidy Chandler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1265356174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 461",
"city": "NEVADA",
"state": "IA",
"postal_code": "502010461",
"telephone_number": "515-382-3366",
"fax_number": "515-382-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W LINCOLN WAY",
"city": "JEFFERSON",
"state": "IA",
"postal_code": "501291685",
"telephone_number": "515-386-4284",
"fax_number": "515-465-1153"
}
],
"practiceLocations": [
{
"address_1": "640 S 19th St",
"address_purpose": "LOCATION",
"city": "Nevada",
"state": "IA",
"postal_code": "502012902",
"country_code": "US",
"telephone_number": "515-382-7008",
"fax_number": "515-382-7113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2350 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Webster City",
"state": "IA",
"postal_code": "505956600",
"country_code": "US",
"telephone_number": "515-832-7735",
"fax_number": "515-832-7795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HACKBARTH",
"first_name": "KASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "140511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KASSIDY",
"last_name": "CHANDLER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jefferson, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.