Individual provider Active NPI

Callie Frizzell, OTD, OTR/L

  • Occupational Therapist
  • Lenexa, KS
National Provider Identifier
1114655149
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-04043 Issued in KS
Practice address
9701 Monrovia St
Lenexa, KS 66215-1564
Phone
(913) 492-1130
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-04043 KS Primary

Addresses

Primary practice location

9701 Monrovia St
Lenexa, KS 66215-1564

Mailing address

7827 W 61St Ter
Mission, KS 66202-3035
Phone (785) 250-9147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307000820 KS Practitioner - Occupational Therapist in Private Practice 9931620895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-04043KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidd-Krafft Occupational and Physical Therapy PA Occupational Therapist CurrentSince Dec 28, 2024 Accepting new patients

Locations

4400 W 115th St
Leawood, KS 66211
Phone (913) 213-3886

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1114655149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7827 W 61ST TER",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023035",
            "telephone_number": "785-250-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 MONROVIA ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151564",
            "telephone_number": "913-492-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIZZELL",
        "first_name": "CALLIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-04043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.