Individual provider Active NPI

Emina Jakupovic, COTA/L

  • Occupational Therapy Assistant
  • West Des Moines, IA
National Provider Identifier
1942497839
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
000790 Issued in IA
Practice address
950 Office Park Rd
Suite 100
West Des Moines, IA 50265-2549
Phone
(515) 224-0979
Fax
(515) 223-3862
NPI assigned
Sep 25, 2007
Last updated
Sep 25, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 000790 IA Primary

Addresses

Primary practice location

950 Office Park Rd
Suite 100
West Des Moines, IA 50265-2549

Mailing address

4925 Franklin Ave
35B
Des Moines, IA 50310-1961
Phone (515) 491-8704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000790IAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Rehabilitation LTD Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1942497839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 FRANKLIN AVE",
            "address_2": "35B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101961",
            "telephone_number": "515-491-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 OFFICE PARK RD",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652549",
            "telephone_number": "515-224-0979",
            "fax_number": "515-223-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUPOVIC",
        "first_name": "EMINA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": "000790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 2007; 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.