Active NPI
Eleanor Jane Cummings, OTD, OTR/L
- Occupational Therapist
- Lawrence, KS
National Provider Identifier
1023794559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-04175
- Practice address
- 1605 Davis Rd
Lawrence, KS 66046-3233 - Phone
- (785) 330-2323
- NPI assigned
- Jun 27, 2023
- Last updated
- Oct 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-04175 | KS | Primary |
Addresses
Primary practice location
1605 Davis Rd
Lawrence, KS 66046-3233
Mailing address
6219 Cernech Rd
Kansas City, KS 66104-1153
Phone (913) 475-1419
Other names 1
- Eleanor Jane Wilson
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 |
|---|---|---|---|
| 17-04175 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Possabilities Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Merriam, KS
- NPI 1902299415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1023794559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6219 CERNECH RD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661041153",
"telephone_number": "913-475-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 DAVIS RD",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660463233",
"telephone_number": "785-330-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "ELEANOR",
"middle_name": "JANE",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-04175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELEANOR",
"last_name": "WILSON",
"middle_name": "JANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.