Active NPI
Kayla Plutschack, OTD, OTR/L
- Occupational Therapist
- Springfield, MO
National Provider Identifier
1225300643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2017001291
- Practice address
- 134 Park Central SQ
#220
Springfield, MO 65806-1339 - Phone
- (844) 536-8266
- NPI assigned
- Jan 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 2017001291 | MO | Primary |
Addresses
Primary practice location
134 Park Central SQ
#220
Springfield, MO 65806-1339
Mailing address
3036 Seekonk Ave
Elgin, IL 60124-8937
Phone (309) 945-5627
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 |
|---|---|---|---|
| 2017001291 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huddle Up Care Inc | Occupational Therapist | 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": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1225300643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3036 SEEKONK AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601248937",
"telephone_number": "309-945-5627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 PARK CENTRAL SQ",
"address_2": "#220",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658061339",
"telephone_number": "844-536-8266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUTSCHACK",
"first_name": "KAYLA",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-31",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2017001291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.