Ginger R Neill Bundy, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2006025510 Issued in MO

Practice address

1201 S Polk St
Maysville, MO 64469-4028

Phone

(816) 449-2281

Fax

(816) 449-2281

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ginger R Bundy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1063606408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S POLK ST",
            "city": "MAYSVILLE",
            "state": "MO",
            "postal_code": "644694028",
            "telephone_number": "816-449-2281",
            "fax_number": "816-449-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S POLK ST",
            "city": "MAYSVILLE",
            "state": "MO",
            "postal_code": "644694028",
            "telephone_number": "816-449-2281",
            "fax_number": "816-449-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL BUNDY",
        "first_name": "GINGER",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2006025510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIV. OF PROF. REG.",
            "identifier": "2006025510",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINGER",
            "last_name": "BUNDY",
            "middle_name": "R",
            "credential": "COTA/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Srivani Chunchulu, M.D.
• Dekalb Clinton Ambulance District No 1
• Dekalb County Reorganized School District R-I
• Dekalb County Senate Bill 40
• N & R of Maysville, LLC (Sunset Home)
• Northwest Family Health, Inc. (Dekalb Health Services)
• Randolph Medical Plus LLC (Randolph Drug Store)
• Elisa Eh Vinyard
• Heather Willits, FNP-C
• Sierra Rae Wolf, DPT

• Occupational Therapy Assistant in Maysville, MO
• Providers in Maysville, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.