Individual provider Active NPI

Debra Roxann Larkins, OT/L, CHT, COMT

  • Hand Occupational Therapist
  • Lees Summit, MO
National Provider Identifier
1003247867
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
000435 Issued in MO
Practice address
1565 NE Douglas St
Lees Summit, MO 64086-4611
Phone
(816) 347-1596
Fax
(816) 347-1806
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 17-01200 KS
Hand Occupational Therapist 225XH1200X 000435 MO Primary

Addresses

Primary practice location

1565 NE Douglas St
Lees Summit, MO 64086-4611

Mailing address

1565 NE Douglas St
Lees Summit, MO 64086-4611

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlarkins@selectmedical.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140421001524 MO Practitioner - Occupational Therapist in Private Practice 9436381712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000435MOMDHand Occupational Therapist
17-01200KSMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Oct 31, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Current Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

3301 W Broadway Business Park Ct
Ste F
Columbia, MO 65203
Phone (573) 447-0422

200 NE 54th St
Ste 101
Kansas City, MO 64118
Phone (816) 455-0301

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1003247867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864611",
            "telephone_number": "816-347-1596",
            "fax_number": "816-347-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKINS",
        "first_name": "DEBRA",
        "middle_name": "ROXANN",
        "name_prefix": "Mrs.",
        "credential": "OT/L, CHT, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "KS",
            "license": "17-01200",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "000435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlarkins@selectmedical.com",
            "affiliation": "N",
            "address_1": "1565 NE Douglas St",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640864611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.