Kara J Groenenboom, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

000770 Issued in IA

Practice address

604 Liberty St
Ste. 229
Pella, IA 50219-1775

Phone

(641) 621-1122

Fax

(641) 621-1177

NPI assigned

Jul 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kara J Ruthven Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Strides Therapy Center

  • Occupational Therapist
  • Pella, IA
  • NPI 1174708689
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1932339561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LIBERTY ST",
            "address_2": "STE. 229",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LIBERTY ST",
            "address_2": "STE. 229",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191775",
            "telephone_number": "641-621-1122",
            "fax_number": "641-621-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROENENBOOM",
        "first_name": "KARA",
        "middle_name": "J",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": "000770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "RUTHVEN",
            "middle_name": "J",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Thomas Graybill
• Jordan Lea Greiner, PA-C
• Rachel Ruth Grenier, ARNP, DNP
• Beth Nichole Grimes
• Matthew A. Gritters, M.D.
• Ross Aaron Groenendyk, D.C.
• Matthew Gronewold, D.C.
• Jessie Kae Grote
• Claire Marie Groth
• Deborah L Guild, RD LD

• Occupational Therapy Assistant in Pella, IA
• Providers in Pella, IA by specialty
• Occupational Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.