Active NPI
Brenda Sue Oehlerich, PTA
- Physical Therapy Assistant
- Iowa City, IA
National Provider Identifier
1568635035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 00740
- Practice address
- 3661 Rochester Ave
Iowa City, IA 52245 - Phone
- (319) 341-8268
- Fax
- (319) 341-6729
- NPI assigned
- Apr 7, 2008
- 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 Therapy Assistant | 225200000X | 00740 | IA | Primary |
Addresses
Primary practice location
3661 Rochester Ave
Iowa City, IA 52245
Mailing address
115 W Broad St
PO Box 122
North English, IA 52316
Phone (319) 664-6134
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00740 | IA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1568635035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W BROAD ST",
"address_2": "PO BOX 122",
"city": "NORTH ENGLISH",
"state": "IA",
"postal_code": "52316",
"telephone_number": "319-664-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 ROCHESTER AVE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52245",
"telephone_number": "319-341-8268",
"fax_number": "319-341-6729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OEHLERICH",
"first_name": "BRENDA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "00740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.