The Center for Lymphatic Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002028 Issued in IA

Legal business name

THE CENTER FOR LYMPHATIC THERAPY

Practice address

2949 Sierra CT SW Ste 1
Iowa City, IA 52240-8503

Phone

(319) 337-8865

Fax

(319) 383-0002

NPI assigned

Jan 13, 2014

Last updated

Jan 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Acosta, M.S., OTR/L,LLCC

Title

Occupational Therapist

Phone

(319) 855-8098

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1730501537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 SIERRA CT SW STE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408503",
            "telephone_number": "319-337-8865",
            "fax_number": "319-383-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 SIERRA CT SW STE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408503",
            "telephone_number": "319-337-8865",
            "fax_number": "319-383-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR LYMPHATIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "319-855-8098",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., OTR/L,LLCC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "002028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1235401647",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "IB2857",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sreenath Thati Ganganna, MD
• Navya Spurthi Thatikonda, MDPHD
• Bijoy Damodaran Thattaliyath, M.D.
• Abdullah Thayyil, MD
• The Arc of Johnson County
• The Children's Center for Therapy
• The Crisis Center of Johnson County
• The University of Iowa (Dental Pharmacy)
• The Waverley Group, Inc. (Iowa City Rehabilitation and Health Care Center)
• Carly Anne Theiler, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.