Davis Joelle Carmack, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

101281 Issued in IA

Practice address

5406 Merle Hay Rd
Johnston, IA 50131-1209

Phone

(515) 727-1571

Fax

(515) 223-3862

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kids Lead, LLC

  • Pediatric Occupational Therapist
  • Johnston, IA
  • NPI 1770350795
  NPD Authorized official
• Central Rehabilitation LTD

  • Rehabilitation Clinic/Center
  • West Des Moines, IA
  • NPI 1003816026
  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1417564428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 MERLE HAY RD",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311209",
            "telephone_number": "515-727-1571",
            "fax_number": "515-223-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 MERLE HAY RD",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311209",
            "telephone_number": "515-727-1571",
            "fax_number": "515-223-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Office Park Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502652548",
            "country_code": "US",
            "telephone_number": "515-224-0979",
            "fax_number": "515-223-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMACK",
        "first_name": "DAVIS",
        "middle_name": "JOELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "101281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Nest Residential LLC
• Care Solutions LLC
• Carelinks ABA Ia LLC
• Careryde Inc
• Justin Carlyle, DPT
• Carolus Chiropractic & Wellness Center
• Kyler Case, DC
• Center for Maximized Living, LLC
• Central Iowa Hospital Corporation
• Central States Mobility Inc

• Occupational Therapist in Johnston, IA
• Providers in Johnston, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.