Active NPI
Brooks A Ginn, OT
- Occupational Therapist
- Des Moines, IA
National Provider Identifier
1861101743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 116619
- Practice address
- 1704 Ingersoll Ave Ste 101
Des Moines, IA 50309-3332 - Phone
- (515) 282-4560
- NPI assigned
- Nov 18, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 116619 | IA | Primary |
Addresses
Primary practice location
1704 Ingersoll Ave Ste 101
Des Moines, IA 50309-3332
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Drake University College of Medicine, 2022
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116619 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Younker Rehabilitation Therapy Services, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700
2850 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-5225
Organizations & group practices 1
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
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1861101743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 INGERSOLL AVE STE 101",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093332",
"telephone_number": "515-282-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINN",
"first_name": "BROOKS",
"middle_name": "A",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "116619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 18, 2022; 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.