Individual provider Active NPI

Molly Josephine Houdeshell, OTD, OTR/L

  • Occupational Therapist
  • West Des Moines, IA
National Provider Identifier
1962150821
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
112975 Issued in IA
Practice address
950 Office Park Rd Ste 100
West Des Moines, IA 50265-2548
Phone
(515) 224-0979
NPI assigned
Mar 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 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 112975 IA Primary

Addresses

Primary practice location

950 Office Park Rd Ste 100
West Des Moines, IA 50265-2548

Mailing address

2075 350TH St
Stanhope, IA 50246-7516
Phone (515) 310-0460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address m.houdeshell@centralrehabia.com Health Information Exchange (HIE) CENTRAL REHABILITATION LTD

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
112975IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Rehabilitation LTD PastSince Mar 13, 2022 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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1962150821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 350TH ST",
            "city": "STANHOPE",
            "state": "IA",
            "postal_code": "502467516",
            "telephone_number": "515-310-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 OFFICE PARK RD STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652548",
            "telephone_number": "515-224-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDESHELL",
        "first_name": "MOLLY",
        "middle_name": "JOSEPHINE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "112975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m.houdeshell@centralrehabia.com",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "affiliationName": "CENTRAL REHABILITATION LTD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email address",
            "address_1": "950 Office Park Rd Ste 100",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502652548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 10, 2022; 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.