Individual provider Active NPI

Ivee Jae Chandler, O.T.

  • Occupational Therapist
  • Cedar Falls, IA
National Provider Identifier
1740709112
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
089100 Issued in IA
Practice address
211 W 6TH St
Cedar Falls, IA 50613-2859
Phone
(192) 773-1663
Fax
(319) 266-4846
NPI assigned
Sep 16, 2017
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 089100 IA Primary

Addresses

Primary practice location

211 W 6TH St
Cedar Falls, IA 50613-2859

Mailing address

211 W 6TH St
Cedar Falls, IA 50613-2859
Phone (192) 773-1663

Other names 1

  • Ivee Jae Adams Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002000948 IA Practitioner - Occupational Therapist in Private Practice 9335414358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Therapy Clinic PCGroup PAC ID 4486659851, 12 clinicians

Practice addresses (Care Compare)

211 W 6TH St
Cedar Falls, IA 50613-2859
Phone (319) 277-3166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089100IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Therapy Clinic PC Occupational Therapist CurrentSince Mar 11, 2024 Accepting new patients

Locations

211 W 6th St
Cedar Falls, IA 50613
Phone (319) 277-3166

924 Viking Rd
Cedar Falls, IA 50613

405 Jefferson St
Waterloo, IA 50701
Phone (319) 833-9333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1740709112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 6TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132859",
            "telephone_number": "192-773-1663",
            "fax_number": "319-266-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 6TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132859",
            "telephone_number": "192-773-1663",
            "fax_number": "319-266-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "IVEE",
        "middle_name": "JAE",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-16",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "089100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVEE",
            "last_name": "ADAMS",
            "middle_name": "JAE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.