Kathleen Numedahl, COTA/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000872 Issued in IA

Practice address

1315 S Bell Ave Ste 108
Ames, IA 50010-7730

Phone

(515) 337-0343

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Axis Therapy Centers

  • Behavior Technician
  • Ames, IA
  • NPI 1124896063
  NPD
• KP Enterprises Iowa

  dba Axis ABA Therapy and Support Services

  • Multi-Specialty Clinic/Center
  • Ankeny, IA
  • NPI 1518478684
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1780308726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S BELL AVE STE 108",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500107730",
            "telephone_number": "515-337-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S BELL AVE STE 108",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500107730",
            "telephone_number": "515-337-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUMEDAHL",
        "first_name": "KATHLEEN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "000872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@axisaba.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "katien@axisaba.com",
            "address_1": "1315 S Bell Ave Ste 108",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500107730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northland Hearing Centers, Inc. (Hearing Unlimited)
• Northstar Bipoc Wellness Center
• Norton Counseling and Consulting LLC
• Martha S Norton, M.S.
• Nudak Ventures LLC (NuCara Pharmacy #28)
• Nichole Leigh O'Brien, ARNP
• Denise Ann O'Mara, ATC
• Brian O'Tool
• Oday Obaid, MD
• Katherine A Oberman, MS, BCBA, LBA

• Occupational Therapist in Ames, IA
• Providers in Ames, 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 3, 2022; 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.