Active NPI
Peggy Sue Radmaker Boekelman, OT
- Occupational Therapist
- Garner, IA
National Provider Identifier
1821277807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00818
- Practice address
- 490 W Lyons St
Garner, IA 50438-1946 - Phone
- (641) 923-2677
- Fax
- (641) 923-0074
- NPI assigned
- Oct 26, 2007
- Last updated
- Nov 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 00818 | IA | Primary |
Addresses
Primary practice location
490 W Lyons St
Garner, IA 50438-1946
Mailing address
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
Other names 1
- Peggy Sue Radmaker
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00818 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1821277807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WACKER DR",
"address_2": "SUITE 1020",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061216",
"telephone_number": "312-640-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 W LYONS ST",
"city": "GARNER",
"state": "IA",
"postal_code": "504381946",
"telephone_number": "641-923-2677",
"fax_number": "641-923-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEKELMAN",
"first_name": "PEGGY SUE RADMAKER",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "00818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY SUE",
"last_name": "RADMAKER",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Garner, IA
- Abcm Corporation (Concord Care Center)
- Abcm Corporation (Cardinal Grove)
- Connie J Arispe, MD
- Jolene Renee Bahling, ARNP
- Belmond Community Hospital (Garner Clinic)
- Amy Jolene Davidson-Jacobs, LISW
- Blake Gregory Dean, PT, DPT
- Renee Diamond, M.D.
- DMW Behavioral Health Services, LLC
- Donald W. Furman, P.C. (Family Eye Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.