Individual provider Active NPI

Madeline Eggleston, OTD, OTR/L

  • Occupational Therapist
  • Ankeny, IA
National Provider Identifier
1669033684
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
097224 Issued in IA
Practice address
2455 SW State St
Ankeny, IA 50023-1277
Phone
(515) 963-4528
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 097224 IA Primary

Addresses

Primary practice location

2455 SW State St
Ankeny, IA 50023-1277

Mailing address

2455 SW State St
Ankeny, IA 50023-1277
Phone (515) 963-4528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712000747 IA Practitioner - Occupational Therapist in Private Practice 2466787411 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. CurrentSince Jun 24, 2019 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jun 24, 2019 Accepting new patients
Central Iowa Physio LLC Current Accepting new patients
Central Iowa Physio LLC Occupational Therapist CurrentSince Jun 24, 2019 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Central Iowa Physio, LLC CurrentSince Jun 24, 2019 Accepting new patients
Physiotherapy Associates Inc Occupational Therapist Past Accepting new patients
Physiotherapy Associates Inc Occupational Therapist PastSince Dec 22, 2020 Accepting new patients

Locations

110 N Ankeny Blvd
Ankeny, IA 50023
Phone (515) 259-9336

110 N Ankeny Blvd
Ste 300
Ankeny, IA 50023
Phone (515) 963-4528

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

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

Organizations & group practices 8

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1669033684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 SW STATE ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231277",
            "telephone_number": "515-963-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 SW STATE ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231277",
            "telephone_number": "515-963-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "MADELINE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "097224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.