Active NPI
Toni Faye Kinworthy, O.T.R.
- Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1093915951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004069
- Practice address
- 7733 Forsyth Blvd
Suite 2300
Saint Louis, MO 63105-1817 - Phone
- (800) 677-1238
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 004069 | MO | Primary |
Addresses
Primary practice location
7733 Forsyth Blvd
Suite 2300
Saint Louis, MO 63105-1817
Mailing address
5134 Autumn Ridge Dr
Imperial, MO 63052-1585
Phone (636) 296-3686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004069 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1093915951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5134 AUTUMN RIDGE DR",
"city": "IMPERIAL",
"state": "MO",
"postal_code": "630521585",
"telephone_number": "636-296-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7733 FORSYTH BLVD",
"address_2": "SUITE 2300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631051817",
"telephone_number": "800-677-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINWORTHY",
"first_name": "TONI",
"middle_name": "FAYE",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "004069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.