Individual provider Active NPI

David Joseph Plutschack, OTD

  • Hand Occupational Therapist
  • Des Moines, IA
National Provider Identifier
1669744082
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
84435 Issued in IA
Practice address
3003 Forest Ave
Des Moines, IA 50311-2911
Phone
(414) 750-9241
NPI assigned
Jan 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 84435 IA Primary

Addresses

Primary practice location

3003 Forest Ave
Des Moines, IA 50311-2911

Mailing address

9520 Alderwood Dr
West Des Moines, IA 50266-4302
Phone (414) 750-9241

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
84435IAMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1669744082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 ALDERWOOD DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502664302",
            "telephone_number": "414-750-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 FOREST AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503112911",
            "telephone_number": "414-750-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUTSCHACK",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "IA",
            "license": "84435",
            "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 31, 2019; 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.