Individual provider Active NPI

Marissa Copley, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Ankeny, IA
National Provider Identifier
1346891470
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
088174 Issued in IA
Practice address
2455 SW State St
Ankeny, IA 50023-1277
Phone
(515) 963-4528
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 088174 IA Primary

Addresses

Primary practice location

2455 SW State St
Ankeny, IA 50023-1277

Mailing address

214 NE Oak Dr
Ankeny, IA 50021-1816
Phone (515) 402-3696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003002088 IA Practitioner - Qualified Speech Language Pathologist 5395076400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Physio LLCGroup PAC ID 2062732118, 18 clinicians

Practice addresses (Care Compare)

55 Unitypoint Way
Suite 70
Marshalltown, IA 50158-4749
Phone (641) 754-6120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
088174IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Current Accepting new patients
Central Iowa Physio LLC CurrentSince Feb 1, 2025 Accepting new patients
Central Iowa Physio LLC Current Accepting new patients
Central Iowa Physio, LLC CurrentSince Feb 1, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince Sep 1, 2019 Accepting new patients
Physiotherapy Associates Inc CurrentSince Sep 1, 2019 Accepting new patients
Physiotherapy Associates Inc PastSince Feb 23, 2025 Accepting new patients

Locations

110 N Ankeny Blvd
Ste 300
Ankeny, IA 50023
Phone (515) 963-4528

5900 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 278-8151

55 Unitypoint Way
Ste 70
Marshalltown, IA 50158
Phone (641) 754-6120

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

1835 Solutions Ctr
Chicago, IL 60677

Organizations & group practices 7

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1346891470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 NE OAK DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500211816",
            "telephone_number": "515-402-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 SW STATE ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231277",
            "telephone_number": "515-963-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLEY",
        "first_name": "MARISSA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "088174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 11, 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.