Individual provider Active NPI

Elise Menning, OTR/L

  • Occupational Therapist
  • Pella, IA
National Provider Identifier
1689755969
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
01144 Issued in IA
Practice address
604 Liberty St Ste 227
Pella, IA 50219-1776
Phone
(641) 621-0230
Fax
(641) 621-0319
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 01144 IA Primary

Addresses

Primary practice location

604 Liberty St Ste 227
Pella, IA 50219-1776

Mailing address

611 N Oaks Dr
Pella, IA 50219-7646

Other identifiers 1

IdentifierTypeStateIssuer
04621OtherIAWELLMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060127000091 IA Practitioner - Occupational Therapist in Private Practice 6901810175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Work Systems Rehab PCGroup PAC ID 5193619625, 35 clinicians

Practice addresses (Care Compare)

1412 A Ave W a
Kinetic Edge Physical Therapy
Oskaloosa, IA 52577-1970
Phone (641) 676-3535

516 3Rd St
Des Moines, IA 50309-1774
Phone (515) 309-4706

604 Liberty St
Suite 227
Pella, IA 50219-1776
Phone (641) 204-0045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01144IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Work Systems Rehab, PC Occupational Therapist CurrentSince Nov 16, 2005 Accepting new patients

Locations

516 3rd St
Des Moines, IA 50309
Phone (515) 309-4706

1715 1st Ave E
Newton, IA 50208
Phone (641) 791-9675

1412 A Ave W
Ste A
Oskaloosa, IA 52577
Phone (641) 676-3535

604 Liberty St
Ste 227
Pella, IA 50219
Phone (641) 204-0046

308 SE 9th St
Pella, IA 50219
Phone (641) 621-0230

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1689755969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N OAKS DR",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502197646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LIBERTY ST STE 227",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191776",
            "telephone_number": "641-621-0230",
            "fax_number": "641-621-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNING",
        "first_name": "ELISE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "04621",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.