Individual provider Active NPI

Julie Elizabeth Doyle Ogbourne, DPT

  • Physical Therapist
  • Grinnell, IA
National Provider Identifier
1831714807
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
100093 Issued in IA
Practice address
234 West St S
Grinnell, IA 50112-8160
Phone
(641) 236-4506
Fax
(641) 236-4316
NPI assigned
Jun 15, 2020
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 100093 IA Primary

Addresses

Primary practice location

234 West St S
Grinnell, IA 50112-8160

Mailing address

234 West St S
Grinnell, IA 50112-8160
Phone (641) 236-4506

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
100093IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Nov 18, 2020 Accepting new patients
Kaizen Health and Wellness PLLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Nov 18, 2020 Accepting new patients

Locations

11119 Plum Dr
Ste 11119
Urbandale, IA 50322
Phone (515) 207-2450

1185 SE Alices Rd
Waukee, IA 50263
Phone (515) 987-7733

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

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, 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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1831714807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WEST ST S",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501128160",
            "telephone_number": "641-236-4506",
            "fax_number": "641-236-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WEST ST S",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501128160",
            "telephone_number": "641-236-4506",
            "fax_number": "641-236-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBOURNE",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH DOYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "100093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.