Active NPI
Matthew Easley, M.A.
- Speech-Language Pathologist
- Coralville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 097425
- Practice address
- 2854 Coral Court, Ste 1
On With Life Outpatient Neuro Rehabilitation
Coralville, IA 52241 - Phone
- (319) 259-6224
- Fax
- (319) 249-6643
- NPI assigned
- Nov 27, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 097425 | IA | Primary |
Addresses
Primary practice location
2854 Coral Court, Ste 1
On With Life Outpatient Neuro Rehabilitation
Coralville, IA 52241
Mailing address
715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone (515) 289-9696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42-1308032 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2850 Westown Pkwy
West Des Moines, IA 50266-1301
Phone (515) 224-5225
3200 Grand Ave
Des Moines, IA 50312-4104
Phone (515) 957-3663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Younker Rehabilitation Therapy Services, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| On With Life, Inc. | Current | Accepting new patients | |
| On With Life, Inc | Current | Accepting new patients | |
| On With Life, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
715 SW Ankeny Rd
Ankeny, IA 50023
Phone (515) 289-9600
717 SW Ankeny Rd
Ankeny, IA 50023
Phone (515) 289-9600
2854 Coral Ct
Ste 1
Coralville, IA 52241
Phone (319) 259-6224
3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700
2850 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-5225
Interoperability endpoints
- measley1179486@direct.unitypoint.org
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Physical Therapist
- Ankeny, IA
- NPI 1447797113
Speech-Language Pathologist
-
- Clinical Neuropsychologist
- Ankeny, IA
- NPI 1336633346
-
- Rehabilitation Clinic/Center
- Coralville, IA
- NPI 1245892629
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1851938690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 SW ANKENY RD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239798",
"telephone_number": "515-289-9696",
"fax_number": "515-289-9649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 CORAL COURT, STE 1",
"address_2": "ON WITH LIFE OUTPATIENT NEURO REHABILITATION",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "52241",
"telephone_number": "319-259-6224",
"fax_number": "319-249-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASLEY",
"first_name": "MATTHEW",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "097425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42-1308032",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
- Kari Dudley, LISW
- Jamie Lynn Duffy, ARNP
- Erin I Duncan, LMFT
- Claibourne Ira Dungy, MD MPH
- James Thomas Dunne Jr., DMD, MS
- Eastern Iowa Couples and Family Therapy, LLC
- Eastern Iowa Periodontics, PC
- Eastern Iowa Rehabilitation Hospital, LLC
- Eastern Iowa Therapeutics P.C,
- Eastside Family Chiropractic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.