Active NPI
Kelly Ann Grabendike, OTR/L
- Occupational Therapist
- Kansas City, MO
National Provider Identifier
1194911255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2007018527
- Practice address
- 2401 Gillham Rd
Children'S Mercy Hospitals and Clinics
Kansas City, MO 64108 - Phone
- (816) 234-3380
- NPI assigned
- Sep 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2007018527 | MO | Primary |
| Occupational Therapist | 225X00000X | T01338 | KS |
Addresses
Primary practice location
2401 Gillham Rd
Children'S Mercy Hospitals and Clinics
Kansas City, MO 64108
Mailing address
2401 Gillham Rd
Children'S Mercy Hospitals and Clinics
Kansas City, MO 64108
Phone (816) 234-3380
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T01338 | KS | MD | Occupational Therapist |
| 2007018527 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1194911255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"address_2": "CHILDREN'S MERCY HOSPITALS AND CLINICS",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-234-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"address_2": "CHILDREN'S MERCY HOSPITALS AND CLINICS",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-234-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABENDIKE",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2007018527",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "T01338",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.