Active NPI
Maegan I Pankey, OTR/L
- Occupational Therapist
- Ottawa, KS
National Provider Identifier
1134440308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-01996
- Practice address
- 1100 W 15TH St
Ottawa, KS 66067-3953 - Phone
- (785) 242-1433
- NPI assigned
- Jun 22, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-01996 | KS | Primary |
Addresses
Primary practice location
1100 W 15TH St
Ottawa, KS 66067-3953
Mailing address
20720 W 226TH St
Spring Hill, KS 66083-3150
Phone (913) 568-5765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-01996 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
15950 Manchester Rd
Ellisville, MO 63011
Phone (636) 220-2748
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 2
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.
-
- Physical Therapist
- Washington, MO
- NPI 1407487366
Occupational Therapist
-
- Physical Therapist
- Wichita, KS
- NPI 1730636846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1134440308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20720 W 226TH ST",
"city": "SPRING HILL",
"state": "KS",
"postal_code": "660833150",
"telephone_number": "913-568-5765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 15TH ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673953",
"telephone_number": "785-242-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANKEY",
"first_name": "MAEGAN",
"middle_name": "I",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-01996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.