Active NPI
On With Life, Inc.
- Speech-Language Pathologist
- Ankeny, IA
National Provider Identifier
1336449669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- ON WITH LIFE, INC.
- Doing business as
- On With Life Outpatient
- Practice address
- 675 SW Ankeny Rd
Ankeny, IA 50023 - Phone
- (515) 965-1339
- Fax
- (515) 965-1186
- NPI assigned
- Nov 3, 2010
- Organization subpart
- Yes
- Parent organization
- ON WITH LIFE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia A Ewald
- Title
- Office Manager
- Phone
- (515) 289-9658
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 225200000X | |||
| Massage Therapist | 225700000X | |||
| Recreation Therapist | 225800000X | |||
| Music Therapist | 225A00000X | |||
| Rehabilitation Counselor | 225C00000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
675 SW Ankeny Rd
Ankeny, IA 50023
Mailing address
715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone (515) 965-1339
Other practice location 1
675 SW Ankeny Rd
Ankeny, IA 50023-9720
Phone (515) 965-1339 ext. 105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043375769 | Medicaid | IA |
Other names 1
- On With Life Outpatient
National Provider Directory
National Provider Directory- Tax ID family
- On With Life Inc
- Part of
- On With Life Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Coralville, IA
- NPI 1245892629
-
- Community/Behavioral Health Agency
- Des Moines, IA
- NPI 1255868360
-
- Speech-Language Pathologist
- Ankeny, IA
- NPI 1497004667
-
- Adult Day Care Clinic/Center
- Ankeny, IA
- NPI 1669225280
-
- Skilled Nursing Facility
- Ankeny, IA
- NPI 1043375769
-
- Physical Therapist
- Coralville, IA
- NPI 1255993655
-
- Community/Behavioral Health Agency
- Ankeny, IA
- NPI 1407986375
Locations
675 SW Ankeny Rd
Ankeny, IA 50023
Phone 5159651339 ext. 105
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Ankeny, IA
- NPI 1528366671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1336449669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 SW ANKENY RD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239798",
"telephone_number": "515-965-1339",
"fax_number": "515-965-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 SW ANKENY RD",
"city": "ANKENY",
"state": "IA",
"postal_code": "50023",
"telephone_number": "515-965-1339",
"fax_number": "515-965-1186"
}
],
"practiceLocations": [
{
"address_1": "675 SW Ankeny Rd",
"address_purpose": "LOCATION",
"city": "Ankeny",
"state": "IA",
"postal_code": "500239720",
"country_code": "US",
"telephone_number": "515-965-1339 x105",
"fax_number": "515-965-1186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ON WITH LIFE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ON WITH LIFE, INC.",
"enumeration_date": "2010-11-03",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "EWALD",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "515-289-9658"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043375769",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "On With Life Outpatient",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 21, 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.