Active NPI
Peter J Nordloh, OT
- Occupational Therapist
- Bettendorf, IA
National Provider Identifier
1962698795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01704
- Practice address
- 2300 53Rd Ave
Bettendorf, IA 52722-7564 - Phone
- (563) 332-4422
- NPI assigned
- Sep 14, 2007
- Sex
- Male
- 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 | 01704 | IA | Primary |
Addresses
Primary practice location
2300 53Rd Ave
Bettendorf, IA 52722-7564
Mailing address
333 S Harrison St
Lancaster, WI 53813-1634
Phone (608) 723-5241
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01704 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189728000000",
"number": "1962698795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S HARRISON ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538131634",
"telephone_number": "608-723-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 53RD AVE",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227564",
"telephone_number": "563-332-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDLOH",
"first_name": "PETER",
"middle_name": "J",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-14",
"last_updated": "2007-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.