Individual provider Active NPI

Robin Hall, MS,OTR/L

  • Occupational Therapist
  • West Des Moines, IA
National Provider Identifier
1871735829
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
01078 Issued in IA
Practice address
6001 Westown Pkwy
West Des Moines, IA 50266-7702
Phone
(515) 224-1414
Fax
(515) 224-5140
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 01078 IA Primary

Addresses

Primary practice location

6001 Westown Pkwy
West Des Moines, IA 50266-7702

Mailing address

6001 Westown Pkwy
West Des Moines, IA 50266-7702
Phone (515) 224-1414

Other practice location 1

1301 Pennsylvania Ave Ste 213
Des Moines, IA 50316-2365
Phone (515) 224-1414

Other practice location 2

350 NE 36th St
Ankeny, IA 50021-6728
Phone (515) 224-1414

Other identifiers 2

IdentifierTypeStateIssuer
1871735829MedicaidIA
01078OtherIAIOWA OT LICENSE

Other names 1

  • Robin Fuller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090527000356 IA Practitioner - Occupational Therapist in Private Practice 5496804247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Pennsylvania Ave
Suite 213
Des Moines, IA 50316-2365
Phone (515) 224-1414

Merit-based Incentive Payment System (MIPS)

Final score
72.25 of 100Reported as group
Quality
80.42
Promoting interoperability
39
Improvement activities
40
Cost
77.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
01078IAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines Orthopaedic Surgeons PC CurrentSince Apr 15, 2017 Accepting new patients
Des Moines Orthopaedic Surgeons PC CurrentSince Apr 15, 2017 Accepting new patients
Eastern Iowa Therapeutics PC Occupational Therapist Past Accepting new patients

Locations

350 NE 36th St
Ankeny, IA 50021
Phone (515) 224-1414

1301 Pennsylvania Ave
Ste 213
Des Moines, IA 50316
Phone (515) 224-1414

4850 100th St
Urbandale, IA 50322
Phone (515) 224-1414

6001 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-1414

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1871735829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667702",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667702",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pennsylvania Ave Ste 213",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503162365",
            "country_code": "US",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 NE 36th St",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500216728",
            "country_code": "US",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ROBIN",
        "credential": "MS,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871735829",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA OT LICENSE",
            "identifier": "01078",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "FULLER",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.