Active NPI
Callie Juhas
- Occupational Therapist
- Fort Leonard Wood, MO
National Provider Identifier
1114869872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.016778
- Practice address
- 4234 Illinois Ave
Fort Leonard Wood, MO 65473 - Phone
- (573) 596-0035
- NPI assigned
- Apr 9, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 | 056.016778 | IL | Primary |
Addresses
Primary practice location
4234 Illinois Ave
Fort Leonard Wood, MO 65473
Mailing address
4234 Illinois Ave
Fort Leonard Wood, MO 65473
Phone (573) 596-0035
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 |
|---|---|---|---|
| 056.016778 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1114869872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 ILLINOIS AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "65473",
"telephone_number": "573-596-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 ILLINOIS AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "65473",
"telephone_number": "573-596-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUHAS",
"first_name": "CALLIE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.016778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.