Jaqueline Koke Thomas, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

003592 Issued in MO

Practice address

7803 NE 72ND Ter
Kansas City, MO 64158-1268

Phone

(816) 756-0780

Fax

(816) 756-1677

NPI assigned

Feb 14, 2006

Last updated

Aug 21, 2009By 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 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1154395515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 NE 72ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581268",
            "telephone_number": "816-415-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7803 NE 72ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581268",
            "telephone_number": "816-756-0780",
            "fax_number": "816-756-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAQUELINE",
        "middle_name": "KOKE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "003592",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "003592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478149826",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daryl L Thomas, M.D.
• Destiny Thomas, LMSW
• Gwynne Alyss Thomas, LPC
• Hanah Thomas
• Ian Kent Thomas, PT, DPT
• Jassma Thomas
• Jeffry Scott Thomas, LCSW
• Joshua Adam Thomas, BSN-RN
• Kaitlyn Thomas, NNP
• Kara Lea Thomas, D.C.

• Pediatric Occupational Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatric Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.