Active NPI
Kari Jill Ross, OTR/L
- Occupational Therapist
- Springfield, MO
National Provider Identifier
1285780452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003414
- Practice address
- 2553 S Collinson Ave
Springfield, MO 65804-3209 - Phone
- (417) 881-2085
- Fax
- (417) 881-0676
- NPI assigned
- Jan 28, 2007
- 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 | 003414 | MO | Primary |
Addresses
Primary practice location
2553 S Collinson Ave
Springfield, MO 65804-3209
Mailing address
383 Safari Lane
Strafford, MO 65757
Phone (417) 818-7512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473892412 | Medicaid | MO |
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 |
|---|---|---|---|
| 003414 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1285780452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 SAFARI LANE",
"city": "STRAFFORD",
"state": "MO",
"postal_code": "65757",
"telephone_number": "417-818-7512",
"fax_number": "417-859-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2553 S COLLINSON AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658043209",
"telephone_number": "417-881-2085",
"fax_number": "417-881-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KARI",
"middle_name": "JILL",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-28",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "003414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "473892412",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.