Individual provider Active NPI

Andy J Happe, DPT

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1619475951
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
087645 Issued in IA
Practice address
3310 SW 9TH St
Des Moines, IA 50315-7647
Phone
(515) 244-5005
Fax
(515) 244-2202
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 087645 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
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180212002516 IA Practitioner - Physical Therapist in Private Practice 9931469988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087645IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodcare Athome Rehab, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

909 Ashworth Rd
Ste 1A
West Des Moines, IA 50265

1000 N West Ave
Ste 210
Sioux Falls, SD 57104
Phone (605) 403-0933

Organizations & group practices 1

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": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1619475951",
    "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": "HAPPE",
        "first_name": "ANDY",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "087645",
            "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 Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.