Active NPI
Annette Camille Maggard Lewer, MOT, OTR
- Occupational Therapist
- Kansas City, MO
National Provider Identifier
1225372196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003791
- Practice address
- 4801 E Linwood Blvd
Kansas City, MO 64128-2226 - Phone
- (816) 861-4700
- Fax
- (816) 922-3353
- NPI assigned
- Nov 16, 2012
- 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 | 003791 | MO | Primary |
| Occupational Therapist | 225X00000X | 17-02695 | KS |
Addresses
Primary practice location
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Mailing address
6935 Brookside Rd
Kansas City, MO 64113-2043
Phone (816) 739-1441
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 |
|---|---|---|---|
| 17-02695 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1225372196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6935 BROOKSIDE RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641132043",
"telephone_number": "816-739-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226",
"telephone_number": "816-861-4700",
"fax_number": "816-922-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGARD LEWER",
"first_name": "ANNETTE",
"middle_name": "CAMILLE",
"credential": "MOT, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "003791",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-02695",
"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 Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.