Individual provider Active NPI

Meghan Elizabeth Kirkey

  • Occupational Therapist
  • Iowa City, IA
National Provider Identifier
1295379717
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
098086 Issued in IA
Practice address
540 E. Jefferson Street
Ste. 302
Iowa City, IA 52245
Phone
(319) 339-3611
Fax
(319) 339-3878
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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 098086 IA Primary

Addresses

Primary practice location

540 E. Jefferson Street
Ste. 302
Iowa City, IA 52245

Mailing address

1130 Scott Blvd.
Ste 1
Iowa City, IA 52240
Phone (319) 354-2429

Other identifiers 1

IdentifierTypeStateIssuer
06-65463MedicaidIA

Other names 1

  • Meghan Elizabeth Waack Former name

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

State licenses

LicenseStateTypeSpecialty
098086IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy of Iowa CurrentSince Oct 29, 2023 Accepting new patients
Progressive Rehabilitation Associates L.L.C. CurrentSince Nov 1, 2019 Accepting new patients

Locations

540 E Jefferson St
Ste 302
Iowa City, IA 52245
Phone (319) 339-3611

1130 S Scott Blvd
Ste 1
Iowa City, IA 52240
Phone (319) 354-2429

Organizations & group practices 2

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1295379717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SCOTT BLVD.",
            "address_2": "STE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240",
            "telephone_number": "319-354-2429",
            "fax_number": "319-354-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E. JEFFERSON STREET",
            "address_2": "STE. 302",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-339-3611",
            "fax_number": "319-339-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKEY",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "098086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06-65463",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "WAACK",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.