NPIMap

Casey Sumner, M.D.

Individual provider Active NPI Occupational Therapist · Willard, MO

NPI 1306222153 · NPPES record last updated Aug 4, 2015

Key facts

NPI
1306222153
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2012026274 (MO)
Practice address
500 Kime St
Willard, MO 65781-7265
Phone
(417) 742-0930
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012026274MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roots Therapy Solutions, LLC Occupational Therapist Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2012026274 MO Yes

Addresses

Primary practice location

500 Kime St
Willard, MO 65781-7265

Mailing address

10350 W Farm Road 144
Springfield, MO 65802-8756
Phone (660) 281-6179

Other names

  • Casey Freeman Former name

Other providers in Willard, MO

All providers in Willard, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.