Individual provider Active NPI

Marybeth Simpkin-Hichwa

  • Occupational Therapist
  • Coralville, IA
National Provider Identifier
1326178864
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
00657 Issued in IA
Practice address
2350 Oakdale Blvd.
Coralville, IA 52241-9702
Phone
(319) 351-5437
Fax
(319) 351-5432
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1535 IA
Occupational Therapist 225X00000X 00657 IA Primary

Addresses

Primary practice location

2350 Oakdale Blvd.
Coralville, IA 52241-9702

Mailing address

2350 Oakdale Blvd.
Coralville, IA 52241-9702
Phone (319) 351-5437

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
00657IAMDPodiatrist
1535IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Childserve Therapy, Inc. Physical Therapist Past Accepting new patients
The Childserve Clinic Inc Past Accepting new patients

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1326178864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 OAKDALE BLVD.",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419702",
            "telephone_number": "319-351-5437",
            "fax_number": "319-351-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 OAKDALE BLVD.",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419702",
            "telephone_number": "319-351-5437",
            "fax_number": "319-351-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPKIN-HICHWA",
        "first_name": "MARYBETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "1535",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "00657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.