Active NPI
Greg Tracy Goertzen, OTR
- Occupational Therapist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001136
- Practice address
- 8880 NE 82ND Ter
Kansas City, MO 64158-1313 - Phone
- (816) 437-8262
- NPI assigned
- Mar 14, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 001136 | MO | Primary |
Addresses
Primary practice location
8880 NE 82ND Ter
Kansas City, MO 64158-1313
Mailing address
8880 NE 82ND Ter
Kansas City, MO 64158-1313
Phone (816) 437-8262
Other practice location 1
3107 Frederick Ave
Saint Joseph, MO 64506-2911
Phone (816) 233-9555
Other practice location 2
3107 Frederick Ave
Saint Joseph, MO 64506-2911
Phone (816) 233-9555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4029 Mill St
Kansas City, MO 64111-3008
Phone (816) 285-0022
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001136 | MO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Saint Luke's Neighborhood Clinics, LLC | Past | Accepting new patients | |
| Midwest Rehabilitation Inc | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
4029 Mill St
Kansas City, MO 64111
Phone (816) 285-0022
229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695
2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116
1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110
Interoperability endpoints
- greg.goertzen.p9@direct.athleticoltd.nextgenshare.com
Organizations & group practices 5
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.
-
dba Athletico Physical Therapy
- Physical Therapist
- Liberty, MO
- NPI 1114449857
Occupational Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Occupational Therapist
-
dba Athletico Physical Therapy
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
Occupational Therapist
-
- Physical Therapist
- Saint Joseph, MO
- NPI 1538174883
-
- Diagnostic Radiology Physician
- Overland Park, KS
- NPI 1346783008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1063481901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8880 NE 82ND TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641581313",
"telephone_number": "816-437-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8880 NE 82ND TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641581313",
"telephone_number": "816-437-8262"
}
],
"practiceLocations": [
{
"address_1": "3107 Frederick Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645062911",
"country_code": "US",
"telephone_number": "816-233-9555",
"fax_number": "816-279-1423",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3107 Frederick Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645062911",
"country_code": "US",
"telephone_number": "816-233-9555",
"fax_number": "816-279-1423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOERTZEN",
"first_name": "GREG",
"middle_name": "TRACY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "001136",
"primary": true
}
],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.