Individual provider Active NPI

Jolie Bryanne Lannin, DPT

  • Physical Therapist
  • Marshalltown, IA
National Provider Identifier
1295535417
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
129122 Issued in IA
Practice address
32 E Main St
Marshalltown, IA 50158-4903
Phone
(641) 753-6636
NPI assigned
Mar 17, 2025
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 129122 IA Primary

Addresses

Primary practice location

32 E Main St
Marshalltown, IA 50158-4903

Mailing address

32 E Main St
Marshalltown, IA 50158-4903

Other names 1

  • Jolie Bryanne Welch Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826004955 IA Practitioner - Physical Therapist in Private Practice 0941700504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

32 E Main St
Marshalltown, IA 50158-4903
Phone (641) 753-6636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129122IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsplus Sports Medicine and Physical Therapy Center Inc CurrentSince May 30, 2025 Accepting new patients
Sportsplus Physical Therapy GC LLC Physical Therapist PastSince Mar 24, 2025 Accepting new patients

Locations

32 E Main St
Marshalltown, IA 50158
Phone (641) 753-6636

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1295535417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584903",
            "telephone_number": "641-753-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNIN",
        "first_name": "JOLIE",
        "middle_name": "BRYANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "129122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLIE",
            "last_name": "WELCH",
            "middle_name": "BRYANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.