Elizabeth Van Bruggen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

001958 Issued in IA

Practice address

3498 450TH St
Orange City, IA 51041-7506

Phone

(712) 737-9065

Fax

(712) 737-9064

NPI assigned

Mar 11, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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.

• Sprout Pediatric Therapy Services

  • Occupational Therapist
  • Orange City, IA
  • NPI 1487006706
  Authorized official Same address or phone

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568855831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4244 CHESTNUT AVE",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510237406",
            "telephone_number": "712-441-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3498 450TH ST",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510417506",
            "telephone_number": "712-737-9065",
            "fax_number": "712-737-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BRUGGEN",
        "first_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "001958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Jean Tindall, MS, LAT, ATC
• Anna Grace Topp
• Mark J Turek, M.D.
• Nancy Turek, PT
• Rachel Ellyn Valentine, M.A.
• Briana Elise Van Der Zwaag, LMSW
• Amy Van Gorp, PHARM.D.
• Lucy Renee Van Hulzen
• Kallie Lynne Van Kley
• Michelle Lynn Van Wyhe, MS, ARNP-BC

• Occupational Therapist in Orange City, IA
• Providers in Orange City, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.