Gena K Rasmussen, MOTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2006026901 Issued in MO

Practice address

1132 Elmont Rd
Sullivan Consolidated District No 2
Sullivan, MO 63080-1039

Phone

(573) 468-5174

Fax

(573) 468-5196

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gena K Hiatt Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1114044104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 ELMONT RD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801039",
            "telephone_number": "573-468-5174",
            "fax_number": "573-468-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 ELMONT RD",
            "address_2": "SULLIVAN CONSOLIDATED DISTRICT NO 2",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801039",
            "telephone_number": "573-468-5174",
            "fax_number": "573-468-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "GENA",
        "middle_name": "K",
        "credential": "MOTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2006026901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477590004",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENA",
            "last_name": "HIATT",
            "middle_name": "K",
            "credential": "MOTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Emma Rae Randolph
• Kate Joanna Randolph, PA
• Krystle Ann Reed, FNP-BC
• Lindsey Donna Reichert
• Roger J. Rembecki, MD
• Jose Remo, MD
• Ridgeway Residential Care

• Occupational Therapist in Sullivan, MO
• Providers in Sullivan, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.