Active NPI
Matthew Anthony Schimek
- Occupational Therapist
- Des Moines, IA
National Provider Identifier
1992392294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105119
- Practice address
- 900 Polk Blvd
Des Moines, IA 50312-2225 - Phone
- (515) 255-5433
- NPI assigned
- Dec 21, 2020
- 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 | 105119 | IA | Primary |
Addresses
Primary practice location
900 Polk Blvd
Des Moines, IA 50312-2225
Mailing address
4725 Merle Hay Rd Ste 101
Des Moines, IA 50322-1983
Phone (515) 254-1726
Other practice location 1
1555 Hull Ave
Des Moines, IA 50316-1341
Phone (515) 262-5639
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 |
|---|---|---|---|
| 105119 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Rehab & Consulting, Inc. | 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.
-
- Physical Therapist
- Des Moines, IA
- NPI 1255385852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1992392294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 MERLE HAY RD STE 101",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503221983",
"telephone_number": "515-254-1726",
"fax_number": "515-331-8916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 POLK BLVD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503122225",
"telephone_number": "515-255-5433"
}
],
"practiceLocations": [
{
"address_1": "1555 Hull Ave",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503161341",
"country_code": "US",
"telephone_number": "515-262-5639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHIMEK",
"first_name": "MATTHEW",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "105119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.