Individual provider Active NPI

Amy C Carnahan, DPT

  • Physical Therapist
  • Ankeny, IA
National Provider Identifier
1336386010
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004344 Issued in IA
Practice address
2006 S Ankeny Blvd BLDG 5
Ankeny, IA 50023-8995
Phone
(515) 289-9541
Fax
(515) 446-3642
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 004344 IA Primary

Addresses

Primary practice location

2006 S Ankeny Blvd BLDG 5
Ankeny, IA 50023-8995

Mailing address

1200 Pleasant Street
South 2 Room 236
Des Moines, IA 50309-1406
Phone (515) 241-6228

Other practice location 1

50 E Hickman Rd
Waukee, IA 50263-5011
Phone (515) 216-2999

Other identifiers 1

IdentifierTypeStateIssuer
1336386010MedicaidIA

Other names 1

  • Amy C Moeller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000479 IA Practitioner - Physical Therapist in Private Practice 4082779061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Younker Rehabilitation Therapy Services LLCGroup PAC ID 2062799810, 47 clinicians

Practice addresses (Care Compare)

2006 S Ankeny Blvd
BLDG 5
Ankeny, IA 50023-8995
Phone (515) 289-9541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Younker Rehabilitation Therapy Services, LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist Past Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist PastSince Sep 26, 2008 Accepting new patients

Locations

2720 8th St SW
Altoona, IA 50009
Phone (515) 957-8609

2006 S Ankeny Blvd
Bldg 5
Ankeny, IA 50023
Phone (515) 289-9541

1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

50 E Hickman Rd
Waukee, IA 50263
Phone (515) 216-2999

Organizations & group practices 3

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336386010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT STREET",
            "address_2": "SOUTH 2 ROOM 236",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-6228",
            "fax_number": "515-241-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S ANKENY BLVD BLDG 5",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238995",
            "telephone_number": "515-289-9541",
            "fax_number": "515-446-3642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 E Hickman Rd",
            "address_purpose": "LOCATION",
            "city": "Waukee",
            "state": "IA",
            "postal_code": "502635011",
            "country_code": "US",
            "telephone_number": "515-216-2999",
            "fax_number": "515-216-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNAHAN",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336386010",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MOELLER",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.