Amy Jean Ballou, OTD OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

01310 Issued in IA

Practice address

1978 Grand Ave Ste 45
West Des Moines, IA 50265-4217

Phone

(515) 221-2220

NPI assigned

Nov 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amy Jean Kratz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Physical Therapist
  • Des Moines, IA
  • NPI 1255385852
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386712313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 RIVER RIDGE DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652045",
            "telephone_number": "515-327-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 GRAND AVE STE 45",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654217",
            "telephone_number": "515-221-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOU",
        "first_name": "AMY",
        "middle_name": "JEAN",
        "credential": "OTD OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "46281",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KRATZ",
            "middle_name": "JEAN",
            "credential": "OTD OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellaine M Ballard, MS, LMHC, NCC
• Ballenger Chiropractic & Acupuncture, PLLC
• Alexandria Nicole Ballenger, D.C.
• Lucas Joe Ballenger, D.C.
• Claude Ballester
• Christina Balmer
• Alexandra Baltes
• Sharon R Bandstra, LISW MSW
• Samantha Brianne Banzhaf, PA-C
• Julia Aime Baray Alvarado, PMHNP-BC

• Occupational Therapist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.