Active NPI
Nancy Childers, COTA
- Occupational Therapy Assistant
- Prairie Village, KS
National Provider Identifier
1306282645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- T-03564
- Practice address
- 3965 W 83Rd St
Suite 233
Prairie Village, KS 66208-5308 - Phone
- (913) 789-9900
- Fax
- (913) 789-9900
- NPI assigned
- May 14, 2013
- 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 Therapy Assistant | 224Z00000X | T-03564 | KS | Primary |
Addresses
Primary practice location
3965 W 83Rd St
Suite 233
Prairie Village, KS 66208-5308
Mailing address
3965 W 83Rd St
Suite 233
Prairie Village, KS 66208-5308
Phone (913) 789-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205092719 | Medicaid | KS |
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 |
|---|---|---|---|
| T-03564 | KS | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1306282645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 W 83RD ST",
"address_2": "SUITE 233",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662085308",
"telephone_number": "913-789-9900",
"fax_number": "913-789-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 W 83RD ST",
"address_2": "SUITE 233",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662085308",
"telephone_number": "913-789-9900",
"fax_number": "913-789-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "NANCY",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "T-03564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205092719",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.