Individual provider Active NPI

Jennifer Lynn Oetker, PT

  • Physical Therapist
  • Ames, IA
National Provider Identifier
1376653469
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004658 Issued in IA
Practice address
4611 Mortensen Rd Suite 101
Ames, IA 50014
Phone
(515) 207-3355
Fax
(515) 462-0905
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004658 IA Primary
Physical Therapist 225100000X 5875 AZ

Addresses

Primary practice location

4611 Mortensen Rd Suite 101
Ames, IA 50014

Mailing address

4611 Mortensen Rd Ste 101
Ames, IA 50014-6228
Phone (515) 207-3355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000894 IA Practitioner - Physical Therapist in Private Practice 0749297059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trilogy Physical Therapy, PLLCGroup PAC ID 5294139838, 3 clinicians

Practice addresses (Care Compare)

4611 Mortensen Rd
Suite 101
Ames, IA 50014-6228
Phone (515) 207-3355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ames Spine & Sport PLLC CurrentSince Sep 12, 2021 Accepting new patients
Trilogy Physical Therapy PLLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients

Locations

4611 Mortensen Rd
Ste 101
Ames, IA 50014
Phone (515) 207-3355

214 Main St
Ste 101
Ames, IA 50010
Phone (515) 207-3355

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1376653469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 MORTENSEN RD STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500146228",
            "telephone_number": "515-207-3355",
            "fax_number": "515-462-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 MORTENSEN RD SUITE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "50014",
            "telephone_number": "515-207-3355",
            "fax_number": "515-462-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETKER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004658",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.