Active NPI
J Gonterwitz
- Pediatric Occupational Therapist
- Kansas City, MO
National Provider Identifier
1003947409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 17-02363
- Practice address
- 2400 Pershing Rd
Kansas City, MO 64108-2500 - Phone
- (816) 701-4307
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 17-02363 | KS | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 2007001568 | MO |
Addresses
Primary practice location
2400 Pershing Rd
Kansas City, MO 64108-2500
Mailing address
2400 Pershing Rd
Kansas City, MO 64108-2500
Phone (816) 701-4307
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-02363 | KS | MD | Pediatric Occupational Therapist |
| 2007001568 | MO | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1003947409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 PERSHING RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082500",
"telephone_number": "816-701-4307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 PERSHING RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082500",
"telephone_number": "816-701-4307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONTERWITZ",
"first_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "KS",
"license": "17-02363",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2007001568",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.