Individual provider Active NPI

Jo A Oakman, OTR

  • Pediatric Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1104940188
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
109442 Issued in TX
Practice address
715 White Oak LN
Kansas City, MO 64116-4607
Phone
(281) 799-0943
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 109442 TX Primary

Addresses

Primary practice location

715 White Oak LN
Kansas City, MO 64116-4607

Mailing address

715 White Oak LN
Kansas City, MO 64116-4607
Phone (281) 799-0943

Other identifiers 2

IdentifierTypeStateIssuer
17-02718OtherKSTHE KANSAS STATE BOARD OF HEALING ARTS
2011008933OtherMOMISSOURI BOARD OF OCCUPATIONAL THERAPY

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

LicenseStateTypeSpecialty
109442TXMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1104940188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 WHITE OAK LN",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164607",
            "telephone_number": "281-799-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 WHITE OAK LN",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164607",
            "telephone_number": "281-799-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKMAN",
        "first_name": "JO",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "109442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE KANSAS STATE BOARD OF HEALING ARTS",
            "identifier": "17-02718",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "2011008933",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.