Individual provider Active NPI

Edward Diemer, OT

  • Physical Rehabilitation Occupational Therapist
  • Des Moines, IA
National Provider Identifier
1821687989
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
086094 Issued in IA
Practice address
1200 Pleasant St
Des Moines, IA 50309-1406
Phone
(515) 241-4223
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 086094 IA
Neurorehabilitation Occupational Therapist 225XN1300X 086094 IA
Physical Rehabilitation Occupational Therapist 225XP0019X 086094 IA Primary
Occupational Therapist 225X00000X 086094 IA

Addresses

Primary practice location

1200 Pleasant St
Des Moines, IA 50309-1406

Mailing address

1675 SE Olson Dr
Waukee, IA 50263-8233
Phone (319) 939-6877

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL edward.diemer@unitypoint.org
CONNECT URL edward.diemer@unitypoint.org
CONNECT URL edward.diemer@unitypoint.org
Direct Messaging Address edward.diemer@unitypoint.org Central Iowa Hospital Corporation

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
086094IAMDGerontology Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1821687989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 SE OLSON DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638233",
            "telephone_number": "319-939-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEMER",
        "first_name": "EDWARD",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "IA",
            "license": "086094",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "IA",
            "license": "086094",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IA",
            "license": "086094",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "086094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "edward.diemer@unitypoint.org",
            "affiliation": "N",
            "address_1": "3600 30th St",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503105753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "edward.diemer@unitypoint.org",
            "affiliation": "N",
            "address_1": "3600 30th St",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503105753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "edward.diemer@unitypoint.org",
            "affiliation": "N",
            "address_1": "3600 30th St",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503105753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edward.diemer@unitypoint.org",
            "affiliation": "Y",
            "affiliationName": "Central Iowa Hospital Corporation",
            "address_1": "1200 Pleasant St",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503091406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.