Active NPI
Michael Lavelle, MSPT
- Physical Therapist
- Des Moines, IA
National Provider Identifier
1508970047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01665
- Practice address
- 3310 SW 9TH St
Des Moines, IA 50315-7647 - Phone
- (515) 244-5005
- Fax
- (515) 244-2202
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- 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 | 01665 | IA | Primary |
Addresses
Primary practice location
3310 SW 9TH St
Des Moines, IA 50315-7647
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 244-5005
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1508970047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-244-5005",
"fax_number": "515-244-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 SW 9TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503157647",
"telephone_number": "515-244-5005",
"fax_number": "515-244-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVELLE",
"first_name": "MICHAEL",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "01665",
"primary": true
}
],
"identifiers": [],
"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 Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.