Individual provider Active NPI

Terri Arleen Haynes, OTR/L

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1285881318
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2008004614 Issued in MO
Practice address
2300 Holmes St FL 2
Eye Foundation BLDG
Kansas City, MO 64108-2634
Phone
(913) 515-0652
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2008004614 MO Primary
Occupational Therapist 225X00000X 17-00652 KS

Addresses

Primary practice location

2300 Holmes St FL 2
Eye Foundation BLDG
Kansas City, MO 64108-2634

Mailing address

2300 Holmes St FL 2
Eye Foundation BLDG
Kansas City, MO 64108-2634
Phone (913) 515-0652

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-00652KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oculi Vision Rehabilitation, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1285881318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HOLMES ST FL 2",
            "address_2": "EYE FOUNDATION BLDG",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082634",
            "telephone_number": "913-515-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HOLMES ST FL 2",
            "address_2": "EYE FOUNDATION BLDG",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082634",
            "telephone_number": "913-515-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "TERRI",
        "middle_name": "ARLEEN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2008004614",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-00652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.