Robert S Cole

Individual provider Active NPI Occupational Therapist · Gladstone, MO

NPI 1265090278 · NPPES record last updated Jun 4, 2019

Key facts

NPI
1265090278
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2019000044 (MO)
Practice address
101 NW Englewood Rd Ste 110
Gladstone, MO 64118-4040
Phone
(816) 413-0900
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred PT LLC (48 clinicians)

Practice addresses (Care Compare)

373 W 101St Ter
220 Preferred PT Wornall
Kansas City, MO 64114-4408
Phone (816) 489-4161

712 1St Ter
Suite 103
Lansing, KS 66043-1715
Phone (316) 263-0003

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO, KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190612000427 MO Practitioner - Occupational Therapist in Private Practice 3971836644 Reassigns benefits to 1 organization
I20201112003165 KS Practitioner - Occupational Therapist in Private Practice 3971836644 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2019000044MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred PT, LLC Current
since Jun 1, 2019
Accepting new patients
Preferred PT LLC Current
since Jun 1, 2019
Accepting new patients
Preferred PT LLC Current
since Nov 5, 2020
Accepting new patients
Preferred PT LLC Occupational Therapist Past Accepting new patients
Preferred PT, LLC Occupational Therapist Past
since Feb 24, 2022
Accepting new patients

Locations

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

373 W 101st Ter
Ste 220
Kansas City, MO 64114
Phone (816) 489-4161

101 NW Englewood Rd
Ste 110
Kansas City, MO 64118
Phone (816) 413-0900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2019000044 MO Yes

Addresses

Primary practice location

101 NW Englewood Rd Ste 110
Gladstone, MO 64118-4040

Mailing address

PO Box 392548
Pittsburgh, PA 15251-9500
Phone (316) 263-0003

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 4, 2019.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1265090278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392548",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519500",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW ENGLEWOOD RD STE 110",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184040",
            "telephone_number": "816-413-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "ROBERT",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2019000044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

All providers in Gladstone, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.