Annelise Gabrielle Klenk Flattery, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

127827 Issued in IA

Practice address

121 Tower St
Denver, IA 50622-2201

Phone

(319) 406-0185

Fax

(319) 406-0187

NPI assigned

Oct 30, 2024

Last updated

Oct 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Annelise Gabrielle Klenk Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Taylor Physical Therapy Associates LLC

  • Physical Therapist
  • Sumner, IA
  • NPI 1861591745
  Medicare reassignment

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1699597633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HIGHWAY 57 STE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506651075",
            "telephone_number": "319-346-9783",
            "fax_number": "319-346-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 TOWER ST",
            "city": "DENVER",
            "state": "IA",
            "postal_code": "506222201",
            "telephone_number": "319-406-0185",
            "fax_number": "319-406-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATTERY",
        "first_name": "ANNELISE",
        "middle_name": "GABRIELLE KLENK",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "127827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNELISE",
            "last_name": "KLENK",
            "middle_name": "GABRIELLE",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denver Community School District
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• Denver Sunset Home
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• Jennifer M Edeker, MSN, FNP, ARNP
• Brett Hansen, PHARMD
• Iowa Physicians Clinic Medical Foundation (Denver Family Practice)
• Mary S Knutson, ARNP
• Laura Jean Larson, D.C.
• Malta Chiropractic & Nutrition, Inc.

• Occupational Therapist in Denver, IA
• Providers in Denver, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.