Georgette Reiland, OTR
Individual provider Active NPI Occupational Therapist · Winfield, MO
NPI 1245958867 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1245958867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2022024988 (MO)
- Practice address
- 100 8TH St
Winfield, MO 63389-1170 - Phone
- (573) 690-1703
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022024988 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2022024988 | MO | Yes |
Addresses
Primary practice location
100 8TH St
Winfield, MO 63389-1170
Mailing address
40 Owls Rest CT
Winfield, MO 63389-3350
Phone (573) 690-1703
NPI Registry JSON
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1245958867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 OWLS REST CT",
"city": "WINFIELD",
"state": "MO",
"postal_code": "633893350",
"telephone_number": "573-690-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 8TH ST",
"city": "WINFIELD",
"state": "MO",
"postal_code": "633891170",
"telephone_number": "573-690-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILAND",
"first_name": "GEORGETTE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2022024988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winfield, MO
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- Erin Ofe
- Sharon Lucille Ohlms
- Daniel R Parker
- Sharon Christine Powers
- Jennifer Riley
- Lynn Ann Shortland
- Emily C Siemer
- Christa Spivey
- SSM Select Rehab St. Louis, LLC
All providers in Winfield, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.