Jane M. Balek, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2009017037 Issued in MO

Practice address

509 Meadowlark Ave
Crane, MO 65633-9317

Phone

(417) 723-5281

NPI assigned

Mar 23, 2010

Last updated

Mar 23, 2010By the provider in NPPES

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

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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1134443971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEADOWLARK AVE",
            "city": "CRANE",
            "state": "MO",
            "postal_code": "656339317",
            "telephone_number": "417-723-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MEADOWLARK AVE",
            "city": "CRANE",
            "state": "MO",
            "postal_code": "656339317",
            "telephone_number": "417-723-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALEK",
        "first_name": "JANE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2009017037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA LICENSE MO",
            "identifier": "2009017037",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith C Adams, MS, LPC, NCC
• Stacey Rachelle Adams II, COTA
• Kelly Aubuschon, PHARM D
• Darlene Benton, PTA
• Angela Dawn Boyd, PTA
• Tammy Jo Brazeal, PH.D.
• John Edgar Burnett Jr., M.P.T.
• Terry J Burpo, DMD

• Occupational Therapy Assistant in Crane, MO
• Providers in Crane, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.