Individual provider Active NPI

Amy Owens, OTR

  • Occupational Therapist
  • Spring Hill, KS
National Provider Identifier
1194930438
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-00649 Issued in KS
Practice address
21901 S Victory Rd Apt a
Spring Hill, KS 66083-9615
Phone
(913) 357-5381
Fax
(913) 222-1912
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-00649 KS Primary

Addresses

Primary practice location

21901 S Victory Rd Apt a
Spring Hill, KS 66083-9615

Mailing address

23975 Clare Road
Paola, KS 66071-4016
Phone (913) 963-8113

Other identifiers 1

IdentifierTypeStateIssuer
26818026OtherMOBCBS OF KANSAS CITY

Other names 1

  • Amy Gustafson Former name

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
17-00649KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allies Therapeutic Services CurrentSince Jul 4, 2021 Accepting new patients
Infant Toddler Services of Johnson County Past Accepting new patients

Locations

21901 S Victory Rd
Apt A
Spring Hill, KS 66083
Phone (913) 357-5381

Organizations & group practices 2

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1194930438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23975 CLARE ROAD",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660714016",
            "telephone_number": "913-963-8113",
            "fax_number": "913-963-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21901 S VICTORY RD APT A",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660839615",
            "telephone_number": "913-357-5381",
            "fax_number": "913-222-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "AMY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-00649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "26818026",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GUSTAFSON",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Hill, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; 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.