NPIMap

Individual provider Active NPI

Jennifer Lee Shrum, MOT, OTR/L

  • Occupational Therapist
  • Stilwell, KS
National Provider Identifier
1063056471
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-03598 Issued in KS
Practice address
7235 W 162ND Ter
Stilwell, KS 66085-8238
Phone
(913) 257-5808
Fax
(844) 270-5788
NPI assigned
Oct 30, 2019
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-03598 KS Primary

Addresses

Primary practice location

7235 W 162ND Ter
Stilwell, KS 66085-8238

Mailing address

7235 W 162ND Ter
Stilwell, KS 66085-8238
Phone (913) 257-5808

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.pediatricconnectionsot.com/

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

LicenseStateTypeSpecialty
17-03598KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Connections Occupational Therapy Services, P.a. Occupational Therapist CurrentSince Mar 4, 2024 Accepting new patients
Pediatric Connections Occupational Therapy Services, P.a. Occupational Therapist CurrentSince Apr 21, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1063056471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 W 162ND TER",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660858238",
            "telephone_number": "913-257-5808",
            "fax_number": "844-270-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 W 162ND TER",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660858238",
            "telephone_number": "913-257-5808",
            "fax_number": "844-270-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRUM",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pediatricconnectionsot.com/",
            "affiliation": "N",
            "address_1": "7235 W 162nd Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660858238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stilwell, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.