Marcie Korth

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

099256 Issued in IA

Practice address

2050 Creek Wood Dr
Dubuque, IA 52003-7610

Phone

(815) 821-4128

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

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

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

• Hills and Dales Child Development Center

  • Behavior Analyst
  • Dubuque, IA
  • NPI 1568116135

  Occupational Therapist

  NPD (past)
• Hills and Dales Child Development Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Dubuque, IA
  • NPI 1932253374
  NPD (past)

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1972363034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CREEK WOOD DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CREEK WOOD DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037610",
            "telephone_number": "815-821-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTH",
        "first_name": "MARCIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "099256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Lee Koons, BA
• Ian M. Koontz, M.D.
• Jillian Koos, PHARMD, RPH
• Katie J Kopp, PHD
• Kyle W Korth, M.D.
• Jimmie Kotouc, B.A., IADC
• Stephanie Kovach
• Emma Kraayenbrink, PHARMD
• Matthew Keith Kraciun, DO
• Megan Kraciun, DPT

• Occupational Therapist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.