Active NPI
Jessica F Taddeo, OT
- Occupational Therapist
- Liberty, MO
National Provider Identifier
1144705252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2018031981
- Practice address
- 2555 Norterre Cir
Liberty, MO 64068-3412 - Phone
- (816) 463-8849
- Fax
- (816) 481-8781
- NPI assigned
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 2018031981 | MO | Primary |
Addresses
Primary practice location
2555 Norterre Cir
Liberty, MO 64068-3412
Mailing address
8600 W 131St Ter Apt 1517
Overland Park, KS 66213-5152
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1144705252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 W 131ST TER APT 1517",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662135152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 NORTERRE CIR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683412",
"telephone_number": "816-463-8849",
"fax_number": "816-481-8781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADDEO",
"first_name": "JESSICA",
"middle_name": "F",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2018031981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.