Individual provider Active NPI

Laurie Joy Eickhoff, DPT

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1508858531
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02954 Issued in IA
Practice address
1515 Linden St
First Floor
Des Moines, IA 50309-3120
Phone
(515) 288-0569
Fax
(515) 288-0347
NPI assigned
Aug 16, 2005
Last updated
Nov 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 02954 IA Primary

Addresses

Primary practice location

1515 Linden St
First Floor
Des Moines, IA 50309-3120

Mailing address

1515 Linden St FL 1
Des Moines, IA 50309-3120
Phone (515) 288-0569

Other identifiers 1

IdentifierTypeStateIssuer
1508858531MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000650 IA Practitioner - Physical Therapist in Private Practice 8729013925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

234 W St S
Unit 4
Grinnell, IA 50112-8160
Phone (641) 236-4506

234 W St S Unit
Suite 4
Grinnell, IA 50112-8160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02954IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab-Orthopedic & Sports Specialists, P.C. CurrentSince Feb 1, 2020 Accepting new patients
Total Rehab-Orthopedic and Sports Specialist, P.C. Physical Therapist CurrentSince Feb 1, 2020 Accepting new patients
Eastern Iowa Therapeutics PC Physical Therapist Past Accepting new patients
Therapy Services of Iowa Inc Physical Therapist Past Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients

Locations

234 West St S
Unit 4
Grinnell, IA 50112
Phone (641) 236-4506

507 Court St
Williamsburg, IA 52361
Phone (319) 668-9453

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1508858531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LINDEN ST FL 1",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093120",
            "telephone_number": "515-288-0569",
            "fax_number": "515-288-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LINDEN ST",
            "address_2": "FIRST FLOOR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093120",
            "telephone_number": "515-288-0569",
            "fax_number": "515-288-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKHOFF",
        "first_name": "LAURIE",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508858531",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.