Individual provider Active NPI

Maureen Sherdan Clark

  • Occupational Therapist
  • Olathe, KS
National Provider Identifier
1235409202
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1702101 Issued in KS
Practice address
201 E Flaming Rd
Olathe, KS 66061-5343
Phone
(913) 829-2273
NPI assigned
Jan 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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 1702101 KS Primary

Addresses

Primary practice location

201 E Flaming Rd
Olathe, KS 66061-5343

Mailing address

201 E Flaming Rd
Olathe, KS 66061-5343
Phone (913) 829-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130503000078 KS Practitioner - Occupational Therapist in Private Practice 4183861545 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Kansas Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, 207 clinicians
Empowerme Wellness Kansas City, LLCGroup PAC ID 9830504836, 152 clinicians

Practice addresses (Care Compare)

2700 Somerset Dr
Prairie Village, KS 66206-1173
Phone (913) 513-0220

4100 W 85TH St
Prairie Village, KS 66206-2166
Phone (913) 412-3745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1702101KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Advantage Solutions, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Dec 9, 2021 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Dec 9, 2021 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Dec 9, 2021 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Dec 9, 2021 Accepting new patients

Locations

8477 S Suncoast Blvd
Homosassa, FL 34446
Phone (800) 381-0822

2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 5

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": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1235409202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E FLAMING RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615343",
            "telephone_number": "913-829-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E FLAMING RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615343",
            "telephone_number": "913-829-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MAUREEN",
        "middle_name": "SHERDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1702101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.

Verify at the official NPI Registry.