Individual provider Active NPI

Andrea Theresa Hoehn, MOT OTR/L

  • Occupational Therapist
  • Boonville, MO
National Provider Identifier
1245340371
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2006002993 Issued in MO
Practice address
1420 W Ashley Rd
Boonville, MO 65233-2112
Phone
(660) 882-6115
NPI assigned
Aug 30, 2006
Last updated
Oct 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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 2006002993 MO Primary

Addresses

Primary practice location

1420 W Ashley Rd
Boonville, MO 65233-2112

Mailing address

2907 Woods Crossing Dr
Columbia, MO 65202-5729
Phone (573) 474-2304

Other names 1

  • Mrs. Andrea Theresa Paz 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)
Enrolled

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": "1193184000000",
    "number": "1245340371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 WOODS CROSSING DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652025729",
            "telephone_number": "573-474-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W ASHLEY RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332112",
            "telephone_number": "660-882-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEHN",
        "first_name": "ANDREA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "MOT  OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2006002993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "PAZ",
            "middle_name": "THERESA",
            "prefix": "MRS.",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.