Keisha Formanek, COTA/L
Occupational Therapy Assistant · West Union, IA
Keisha Formanek, COTA/L is an occupational therapy assistant with a practice address in West Union, Iowa, and NPI 1073322103, issued on Jan 3, 2025. Check the license (Iowa 080424, as entered in NPPES) with the Iowa board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Keisha Formanek
- Credential
- COTA/L
- Primary taxonomy
- Occupational Therapy Assistant 224Z00000X
- License number
- 080424 IA
Self-reported in NPPES; status is on the state search - Practice location
- 112 Jefferson St, West Union, IA 52175
- Phone
- (563) 422-3811
- Enumerated
- Jan 3, 2025
- Entity
- Type 1 · individual
Also registered at 112 Jefferson St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jill Aylsworth, P.T.APhysical Therapy Assistant1962617209
- Kenneth Beach, CRNACertified Registered Nurse Anesthetist1740239862
- Melinda Brokaw, CNP ARNPFamily Nurse Practitioner1659593572
- Patricia Carey, DPTPhysical Therapist1396100244
- Dawn Daughton, M.T.P.Physical Therapist1184839425
- Reed Davis, CRNACertified Registered Nurse Anesthetist1720259112
Verify Keisha Formanek in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Iowa board licenses this profession
Search for license 080424Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
5 occupational therapy assistant records list a West Union practice address
They are 5 of the 75 NPPES records with a West Union practice address, and 266 occupational therapy assistant records in Iowa. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 5 in West Union → All 266 in Iowa → Every provider in West Union →
Other occupational therapy assistant records in Iowa
- Erika Adamson, COTA/LDavenport, IA1407091234
- Jordan Alberts, COTA/LAplington, IA1316401938
- Lisa Alderman, COTA/LLa Porte City, IA1215806799
- Jenna AllenSioux City, IA1669080354
- Nicole Allen, COTAMarengo, IA1144340209
- Kate AndersonWest Des Moines, IA1063740405
- Andrew AntleDavenport, IA1780173385
- Tanya Arnold, OTAWaterloo, IA1194993618
- Nick BaccamDes Moines, IA1851837405
- Kathy BarnhartCoralville, IA1275887788
Common questions
What is Keisha Formanek, COTA/L's NPI number?
Keisha Formanek, COTA/L's National Provider Identifier (NPI) is 1073322103, issued on Jan 3, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Keisha Formanek, COTA/L located?
The NPPES record lists a practice address at 112 Jefferson St, West Union, IA, 52175. Phone: (563) 422-3811. Providers update this record themselves, so call before visiting.
How can I verify Keisha Formanek, COTA/L's license?
NPPES lists Iowa license number 080424, as entered by the provider. Search the Iowa board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.