Individual provider Active NPI

Shiva Gheblehverdi, OCCUPATIONAL THERAPY

  • Occupational Therapist
  • Raytown, MO
National Provider Identifier
1093527822
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2024029686 Issued in MO
Practice address
6124 Raytown Rd
Raytown, MO 64133-4007
Phone
(816) 358-8222
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 2024029686 MO Primary

Addresses

Primary practice location

6124 Raytown Rd
Raytown, MO 64133-4007

Mailing address

9552 N Main St
Kansas City, MO 64155-7312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250428002695 MO Practitioner - Occupational Therapist in Private Practice 2365968831
I20250428002823 KS Practitioner - Occupational Therapist in Private Practice 2365968831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024029686MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sahni OD LLC Occupational Therapist CurrentSince Mar 1, 2025 Accepting new patients

Locations

10875 Grandview Dr
Ste 2260
Overland Park, KS 66210
Phone (816) 237-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1093527822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9552 N MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641557312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 RAYTOWN RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334007",
            "telephone_number": "816-358-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEBLEHVERDI",
        "first_name": "SHIVA",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2024029686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.