Organization Active NPI

Cedar Hand Therapy, LLC

  • Hand Occupational Therapist
  • Cedar Rapids, IA
National Provider Identifier
1407235336
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
00152 Issued in IA
Legal business name
CEDAR HAND THERAPY, LLC
Practice address
2750 1St Ave NE
Suite 200
Cedar Rapids, IA 52402-4831
Phone
(319) 366-1886
Fax
(319) 366-1611
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Mrs. Connie M Rystrom, OTR/L, CHT
Title
Owner
Phone
(319) 366-1886

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X 00152 IA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2750 1St Ave NE
Suite 200
Cedar Rapids, IA 52402-4831

Mailing address

2750 1St Ave NE
Suite 200
Cedar Rapids, IA 52402-4831
Phone (319) 366-1886

National Provider Directory

National Provider Directory

Locations

2750 1st Ave NE
Ste 200
Cedar Rapids, IA 52402
Phone (319) 366-1886

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1407235336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 1ST AVE NE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024831",
            "telephone_number": "319-366-1886",
            "fax_number": "319-366-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 1ST AVE NE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024831",
            "telephone_number": "319-366-1886",
            "fax_number": "319-366-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HAND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "RYSTROM",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-366-1886",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "IA",
            "license": "00152",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.