Active NPI
Socorro Liliana Lopez-Goldstein, COTA
- Occupational Therapy Assistant
- Merriam, KS
National Provider Identifier
1023453073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 18-00895
- Practice address
- 6700 Antioch Rd Ste 120
Merriam, KS 66204-1200 - Phone
- (888) 652-9225
- NPI assigned
- May 3, 2013
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 18-00895 | KS | Primary |
| Occupational Therapy Assistant | 224Z00000X | 2013009029 | MO |
Addresses
Primary practice location
6700 Antioch Rd Ste 120
Merriam, KS 66204-1200
Mailing address
8620 W 131St PL Apt 412
Overland Park, KS 66213-5134
Phone (702) 813-3329
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 |
|---|---|---|---|
| 18-00895 | KS | MD | Occupational Therapy Assistant |
| 2013009029 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1023453073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8620 W 131ST PL APT 412",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662135134",
"telephone_number": "702-813-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 ANTIOCH RD STE 120",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662041200",
"telephone_number": "888-652-9225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ-GOLDSTEIN",
"first_name": "SOCORRO",
"middle_name": "LILIANA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-03",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "18-00895",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2013009029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.