Individual provider Active NPI

Savannah Kay Boyle, OTD

  • Occupational Therapist
  • Des Moines, IA
National Provider Identifier
1578309233
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
127262 Issued in IA
Practice address
450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone
(515) 247-8400
Fax
(515) 248-8888
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 127262 IA Primary

Addresses

Primary practice location

450 Laurel St Ste a
Des Moines, IA 50314-3045

Mailing address

450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone (515) 247-8400

Other practice location 1

710 E 1st St Ste A
Ankeny, IA 50021-2128
Phone (515) 247-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805001900 IA Practitioner - Occupational Therapist in Private Practice 0749727048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Orthopaedic Center PCGroup PAC ID 5597679159, 69 clinicians

Practice addresses (Care Compare)

450 Laurel St
Suite a
Des Moines, IA 50314-3045
Phone (515) 247-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127262IAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Orthopaedic Center, P.C. CurrentSince Feb 1, 2015 Accepting new patients
Iowa Orthopaedic Center, P.C. Current Accepting new patients
Iowa Orthopaedic Center, P.C. CurrentSince Feb 1, 2015 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jul 1, 2024 Accepting new patients
Physiotherapy Associates Inc. Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients

Locations

710 E 1st St
Ste A
Ankeny, IA 50021

450 Laurel St
Des Moines, IA 50314
Phone (515) 323-6485

319 7th St
Ste 102
Des Moines, IA 50309
Phone (319) 241-5880

450 Laurel St
Ste A
Des Moines, IA 50314
Phone 5152478400321

450 Laurel St
Ste C
Des Moines, IA 50314
Phone (515) 247-9590

5900 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 278-8151

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1578309233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 E 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500212128",
            "country_code": "US",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "SAVANNAH",
        "middle_name": "KAY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "127262",
            "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 Jan 10, 2025; 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.