Sydney Conchola

Individual provider Active NPI Occupational Therapist · Grain Valley, MO

NPI 1144030446 · NPPES record last updated Jan 9, 2025

Key facts

NPI
1144030446
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
105 SW Eagles Pkwy
Grain Valley, MO 64029-8512
Phone
(816) 265-1170
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Cwo Enterprises Current
since Jan 12, 2025
Accepting new patients

Locations

105 SW Eagles Pkwy
Grain Valley, MO 64029
Phone (816) 265-1170

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

105 SW Eagles Pkwy
Grain Valley, MO 64029-8512

Mailing address

105 SW Eagles Pkwy
Grain Valley, MO 64029-8512
Phone (816) 265-1170

Other providers in Grain Valley, MO

All providers in Grain Valley, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.