Active NPI
Shelby Bachman
- Occupational Therapist
- Blue Springs, MO
National Provider Identifier
1245998889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-03935
- Practice address
- 732-734 Mo-7
Blue Springs, MO 64014 - Phone
- (816) 229-6622
- NPI assigned
- Dec 1, 2021
- Last updated
- Dec 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-03935 | KS | Primary |
Addresses
Primary practice location
732-734 Mo-7
Blue Springs, MO 64014
Mailing address
9652 N Campbell Dr
Kansas City, MO 64155-2055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17-03935 | Other | KS | KANSAS STATE BOARD OF HEALING ARTS |
| 460481 | Other | NATIONAL BOARD OF OCCUPATIONAL THERAPY |
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 |
|---|---|---|---|
| 17-03935 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1245998889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9652 N CAMPBELL DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732-734 MO-7",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "64014",
"telephone_number": "816-229-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-03935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS STATE BOARD OF HEALING ARTS",
"identifier": "17-03935",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD OF OCCUPATIONAL THERAPY",
"identifier": "460481",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.