Active NPI
Mary Echterling
- Occupational Therapist
- Dallas Center, IA
National Provider Identifier
1386854859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00624
- Practice address
- 22263 S. Avenue
Dallas Center, IA 50063 - Phone
- (515) 360-1138
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 00624 | IA | Primary |
Addresses
Primary practice location
22263 S. Avenue
Dallas Center, IA 50063
Mailing address
22263 S. Avenue
Dallas Center, IA 50063-8069
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386854859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22263 S. AVENUE",
"city": "DALLAS CENTER",
"state": "IA",
"postal_code": "500638069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22263 S. AVENUE",
"city": "DALLAS CENTER",
"state": "IA",
"postal_code": "50063",
"telephone_number": "515-360-1138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHTERLING",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "00624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas Center, IA
Sources for this page
- 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.