Active NPI
Jordan Ann Reed, MOT, OTR/L
- Occupational Therapist
- Le Mars, IA
National Provider Identifier
1962025064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 095542
- Practice address
- 789 Holton Dr
Le Mars, IA 51031-3757 - Phone
- (712) 546-1718
- NPI assigned
- May 22, 2020
- Sex
- Female
- 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 | 095542 | IA | Primary |
Addresses
Primary practice location
789 Holton Dr
Le Mars, IA 51031-3757
Mailing address
789 Holton Dr
Le Mars, IA 51031-3757
Phone (402) 649-3994
Other names 1
- Jordan Ann Copple
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095542 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lemars Physical Therapy, PLLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1962025064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 HOLTON DR",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313757",
"telephone_number": "402-649-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 HOLTON DR",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313757",
"telephone_number": "712-546-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "JORDAN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-22",
"last_updated": "2021-09-14",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "095542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "COPPLE",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Le Mars, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.