Individual provider Active NPI

Carrie Marie Wheeler, MOT, OTD

  • Pediatric Occupational Therapist
  • West Des Moines, IA
National Provider Identifier
1801930136
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
12507 Issued in FL
Practice address
950 Office Park Rd Ste 100
West Des Moines, IA 50265-2548
Phone
(515) 224-0979
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 12507 FL Primary
Pediatric Occupational Therapist 225XP0200X 6736 NC
Occupational Therapist 225X00000X 002067 IA

Addresses

Primary practice location

950 Office Park Rd Ste 100
West Des Moines, IA 50265-2548

Mailing address

405 SE 11TH St
Ankeny, IA 50021-3707
Phone (980) 939-4795

Other identifiers 1

IdentifierTypeStateIssuer
891722100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002067IAMDOccupational Therapist
12507FLMDPediatric Occupational Therapist
6736NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alante Primary Care and Palliative Services LLC Current Accepting new patients
Alante Health - Oregon LLC Current Accepting new patients
Central Rehabilitation LTD Past Accepting new patients

Organizations & group practices 3

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1801930136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SE 11TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500213707",
            "telephone_number": "980-939-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 OFFICE PARK RD STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652548",
            "telephone_number": "515-224-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MOT, OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "12507",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "6736",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "002067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891722100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.