Individual provider Active NPI

Sheryl Lynn Levota, OTR/L

  • Pediatric Occupational Therapist
  • Prairie Village, KS
National Provider Identifier
1194920520
Registry record updated Dec 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2002008457 Issued in MO
Practice address
4310 W 63Rd St
Prairie Village, KS 66208-1505
Phone
(913) 515-6298
NPI assigned
Jun 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2002008457 MO Primary

Addresses

Primary practice location

4310 W 63Rd St
Prairie Village, KS 66208-1505

Mailing address

4310 W 63Rd St
Prairie Village, KS 66208-1505
Phone (913) 515-6298

Other identifiers 1

IdentifierTypeStateIssuer
475935219MedicaidMO

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

LicenseStateTypeSpecialty
2002008457MOMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Function, LLC Pediatrics Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1194920520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 W 63RD ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662081505",
            "telephone_number": "913-515-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 W 63RD ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662081505",
            "telephone_number": "913-515-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVOTA",
        "first_name": "SHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-16",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2002008457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475935219",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.