Active NPI
Victoria Kay Theiss, MS OTRL
- Occupational Therapist
- Arnold, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004065
- Practice address
- 3950 Vogel Rd
Arnold, MO 63010 - Phone
- (636) 461-0900
- Fax
- (636) 461-0047
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004065 | MO | Primary |
Addresses
Primary practice location
3950 Vogel Rd
Arnold, MO 63010
Mailing address
774 Walnut Ridge
Fenhon, MO 63026-5444
Phone (636) 343-1215
Other names 1
- Vicki Kay Gardner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Veterans Blvd
Festus, MO 63028-2394
Phone (636) 931-2100
1832 Wentzville Pkwy
Wentzville, MO 63385-3817
Phone (636) 327-7110
2007 W Foxwood Dr
Suite D
Raymore, MO 64083-9589
Phone (816) 265-8116
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004065 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
| Athletico LTD | Occupational Therapist | Current | Accepting new patients |
Locations
3950 Vogel Rd
Arnold, MO 63010
Phone (636) 461-0900
1355 Maple St
Farmington, MO 63640
Phone (573) 756-9900
229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695
951 Waterbury Falls Dr
O Fallon, MO 63368
Phone (636) 336-0300
2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116
107 Concord Plaza Shopping Ctr
Saint Louis, MO 63128
Phone (314) 842-2990
1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110
Interoperability endpoints
- victoria.theiss.p2@direct.athleticoltd.nextgenshare.com
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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215047345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 WALNUT RIDGE",
"city": "FENHON",
"state": "MO",
"postal_code": "630265444",
"telephone_number": "636-343-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 VOGEL RD",
"city": "ARNOLD",
"state": "MO",
"postal_code": "63010",
"telephone_number": "636-461-0900",
"fax_number": "636-461-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEISS",
"first_name": "VICTORIA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "MS OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "004065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICKI",
"last_name": "GARDNER",
"middle_name": "KAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Arnold, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.