Active NPI
Hannah Cunningham, OTR, L
- Pediatric Occupational Therapist
- Republic, MO
National Provider Identifier
1124777107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2022003242
- Practice address
- 2673 E Sawyer Rd
Republic, MO 65738-7574 - Phone
- (417) 324-7646
- NPI assigned
- Mar 18, 2022
- Last updated
- Mar 18, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2022003242 | MO | Primary |
Addresses
Primary practice location
2673 E Sawyer Rd
Republic, MO 65738-7574
Mailing address
2673 E Sawyer Rd
Republic, MO 65738-7574
Phone (417) 343-1560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022003242 | MO | MD | Pediatric Occupational Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Republic, MO
- NPI 1104378561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1124777107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2673 E SAWYER RD",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "657387574",
"telephone_number": "417-343-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2673 E SAWYER RD",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "657387574",
"telephone_number": "417-324-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "HANNAH",
"credential": "OTR, L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2022003242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Republic, MO
- Marjorie A Cheesman, COTA
- Christian Health and Rehabilitation of Republic, LLC (Christian Health and Rehabilitation of Republic)
- Christian Health Care of Republic, Inc.
- Stephanie Cronin, SLP-CF
- Darla S Cunningham, LPC
- Teresa Ann Davidson, OTR L
- Elizabeth Davis
- McKay Knight Davis, MACL, LPC, CRADC
- Kimberly Dawn Dolan, LPC
- Haly Donaldson, PLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.