Active NPI
Rehabcare
- General Acute Care Hospital
- Independence, MO
National Provider Identifier
1093901472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 000137
- Legal business name
- REHABCARE
- Practice address
- 4304 S James Ave
Independence, MO 64055-4731 - Phone
- (816) 478-3141
- Fax
- (816) 478-3141
- NPI assigned
- Sep 19, 2007
- Organization subpart
- Yes
- Parent organization
- REHABCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Judy Dawn Bray, COTA/L
- Title
- Occupational Therapy Assistant
- Phone
- (816) 478-3141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 000137 | MO | Primary |
Addresses
Primary practice location
4304 S James Ave
Independence, MO 64055-4731
Mailing address
4304 S James Ave
Independence, MO 64055-4731
Phone (816) 478-3141
National Provider Directory
National Provider Directory- Part of
- Rehabcare
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1093901472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4304 S JAMES AVE",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640554731",
"telephone_number": "816-478-3141",
"fax_number": "816-478-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 S JAMES AVE",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640554731",
"telephone_number": "816-478-3141",
"fax_number": "816-478-3141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REHABCARE",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "BRAY",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
"authorized_official_telephone_number": "816-478-3141",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "COTA/L"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MO",
"license": "000137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.