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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019000044 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred PT, LLC | Current |
Accepting new patients | |
| Preferred PT LLC | Current |
Accepting new patients | |
| Preferred PT LLC | Current |
Accepting new patients | |
| Preferred PT LLC | Occupational Therapist | Past | Accepting new patients |
| Preferred PT, LLC | Occupational Therapist | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Lovejot Choong
- City of Gladstone
- Clayborn Home Care of America, LLC
- Daniel Mark Cline
- Garret Thomas Cochran
- Tanner Coleman
- Taneka Montretta Collins
- Dana Combs
- Comprehensive Foot Centers
- Comprehensive Psychiatric Associates, LLC
All providers in Gladstone, 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 Jun 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.