Organization Active NPI

Rehabcare

  • General Acute Care Hospital
  • Independence, MO
National Provider Identifier
1093901472
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000137 Issued in MO
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
REHABCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.