Individual provider Active NPI

Matthew Easley, M.A.

  • Speech-Language Pathologist
  • Coralville, IA
National Provider Identifier
1851938690
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
097425 Issued in IA
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

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
42-1308032MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130002041 IA Practitioner - Qualified Speech Language Pathologist 5799111340 Reassigns benefits to 2 organizations

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
Younker Rehabilitation Therapy Services LLCGroup PAC ID 2062799810, 47 clinicians

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

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Younker Rehabilitation Therapy Services, LLC Speech-Language Pathologist CurrentSince Apr 2, 2025 Accepting new patients
On With Life, Inc. Current Accepting new patients
On With Life, Inc CurrentSince Jan 15, 2020 Accepting new patients
On With Life, Inc. Speech-Language Pathologist CurrentSince Jan 15, 2020 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

  • Direct secure messaging: measley1179486@direct.unitypoint.org
  • FHIR API: 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.

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

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.

Verify at the official NPI Registry.