MEDICARE: BRANDI JAE RINGHOLZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0019X	Physical Rehabilitation Occupational Therapist	002063	IA

General Provider Information

NPI Number	:	1790618155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI JAE RINGHOLZ

Provider Business Mailing Address
First Line	:	710 NE GEORGETOWN CT
Second Line	:
City	:	ANKENY
State	:	IA
Zip	:	50021-9280
Country	:	US
Telephone Number	:	515-802-2885
Fax Number	:

Provider Business Practice Location Address
First Line	:	1980 NE 84TH STREET
Second Line	:	SUITE E
City	:	CLIVE
State	:	IA
Zip	:	50325
Country	:	US
Telephone Number	:	712-250-0990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ BRANDI JAE RINGHOLZ ” Practice Location

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