Individual provider Active NPI

Michaela Cunningham

  • Occupational Therapist
  • Liberty, MO
National Provider Identifier
1295623791
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2025011974 Issued in MO
Practice address
1200 W College St
Liberty, MO 64068-1036
Phone
(816) 781-3020
NPI assigned
Jun 25, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2025011974 MO Primary

Addresses

Primary practice location

1200 W College St
Liberty, MO 64068-1036

Mailing address

727 NE 45TH Ter
Kansas City, MO 64116-1823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250813001324 MO Practitioner - Occupational Therapist in Private Practice 9931607488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred PT LLCGroup PAC ID 9436447422, 48 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025011974MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred PT, LLC Current Accepting new patients
Preferred PT LLC CurrentSince Aug 4, 2025 Accepting new patients
Preferred PT, LLC CurrentSince Aug 4, 2025 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

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

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1295623791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 NE 45TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W COLLEGE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681036",
            "telephone_number": "816-781-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2025011974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.