Candace S Sedlacek, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1700286 Issued in KS

Practice address

12000 W 110TH St
Suite 400
Overland Park, KS 66210-3938

Phone

(913) 491-9404

Fax

(913) 754-0365

NPI assigned

Oct 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1154519544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 W 110TH ST",
            "address_2": "SUITE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662103938",
            "telephone_number": "913-491-9404",
            "fax_number": "913-754-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 W 110TH ST",
            "address_2": "SUITE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662103938",
            "telephone_number": "913-491-9404",
            "fax_number": "913-754-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLACEK",
        "first_name": "CANDACE",
        "middle_name": "S",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1700286",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001022660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seastnan Medical, LLC
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• Second Nature LLC
• Ann Sedeeq, MD
• Stephanie Ann Sedivy, M.D.
• Kellie Seefeldt, FNP-C
• John Michael Seeley, MD
• Dylan Seese
• Segue88 Inc.
• Hailee Segura

• Occupational Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.