Prismatic Pelvic Health, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PRISMATIC PELVIC HEALTH, PLLC

Practice address

2010 E 38TH St Ste 201B
Davenport, IA 52807-1179

Phone

(563) 265-1154

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Anne Thennes, MOT, OTR/LNPI 1114503414

Title

Owner, Occupational Therapist

Phone

(563) 265-1154

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Anne Thennes, OTR/L

  • Occupational Therapist
  • Le Claire, IA
  • NPI 1114503414
  Authorized official Same address or phone

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1346924750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 COBBLESTONE LN",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527539249",
            "telephone_number": "563-579-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 38TH ST STE 201B",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071179",
            "telephone_number": "563-265-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMATIC PELVIC HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "THENNES",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "563-265-1154",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.