Michael Powell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005035 Issued in IA

Practice address

2035 Chester Ave
Ottumwa, IA 52501-3715

Phone

(641) 684-9313

NPI assigned

Dec 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1316302391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N 3RD ST",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525311843",
            "telephone_number": "641-932-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 CHESTER AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013715",
            "telephone_number": "641-684-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "005035",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2110469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Jennings Phillips, DDS
• Physiotherapy Assoicates, Inc.
• Payne M Pleima, CADC
• Ashley M Pooker, OTR
• Anthony Uriah Potter, MA
• Taniya Pradhan, M.D.
• Prairie Hills at Ottumwa Operations LLC
• Cathy Pringle-Maletta, CADC
• Elizabeth A Proctor
• Psychology Services of Ottumwa LLC

• Physical Therapy Assistant in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.