Active NPI
Amy Dotson
- Occupational Therapist
- Grimes, IA
National Provider Identifier
1649666454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01798
- Practice address
- 3004 SE Cobblestone Dr
Grimes, IA 50111-4982 - Phone
- (515) 986-5378
- NPI assigned
- Apr 8, 2015
- Last updated
- Apr 8, 2015
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01798 | IA | Primary |
Addresses
Primary practice location
3004 SE Cobblestone Dr
Grimes, IA 50111-4982
Mailing address
3004 SE Cobblestone Dr
Grimes, IA 50111-4982
Phone (515) 986-5378
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 |
|---|---|---|---|
| 01798 | IA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1649666454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3004 SE COBBLESTONE DR",
"city": "GRIMES",
"state": "IA",
"postal_code": "501114982",
"telephone_number": "515-986-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 SE COBBLESTONE DR",
"city": "GRIMES",
"state": "IA",
"postal_code": "501114982",
"telephone_number": "515-986-5378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grimes, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.