Active NPI
Laurie Joy Eickhoff, DPT
- Physical Therapist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02954
- 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, 2015
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508858531 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02954 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab-Orthopedic & Sports Specialists, P.C. | Current | Accepting new patients | |
| Total Rehab-Orthopedic and Sports Specialist, P.C. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Grinnell, IA
- NPI 1700986304
-
- Physical Therapy Clinic/Center
- Williamsburg, IA
- NPI 1174875199
-
dba Athletico Physical Therapy
- Clinic/Center
- Des Moines, IA
- NPI 1871900985
Physical Therapist
-
- Physical Therapist
- Des Moines, IA
- NPI 1407801228
-
dba Accelerated Rehabilitation Centers
- Physical Therapist
- Chicago, IL
- NPI 1023064144
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.