Active NPI
Rodney Dean Amos, OTR/L
- Occupational Therapist
- Indianola, IA
National Provider Identifier
1356540348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01155
- Practice address
- 708 S Jefferson Way
Indianola, IA 50125-3216 - Phone
- (515) 961-0259
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01155 | IA | Primary |
Addresses
Primary practice location
708 S Jefferson Way
Indianola, IA 50125-3216
Mailing address
708 S Jefferson Way
Indianola, IA 50125-3216
Phone (515) 961-0259
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01155 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1356540348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 S JEFFERSON WAY",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501253216",
"telephone_number": "515-961-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 S JEFFERSON WAY",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501253216",
"telephone_number": "515-961-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOS",
"first_name": "RODNEY",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.