Individual provider Active NPI

Jill J. Glinka, OTR/L

  • Pediatric Occupational Therapist
  • Topeka, KS
National Provider Identifier
1306879770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
17-00109 Issued in KS
Practice address
5316 SW Lincolnshire Cir
Topeka, KS 66610-9662
Phone
(785) 862-9222
Fax
(785) 862-8807
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 17-00109 KS Primary

Addresses

Primary practice location

5316 SW Lincolnshire Cir
Topeka, KS 66610-9662

Mailing address

5316 SW Lincolnshire Cir
Topeka, KS 66610-9662
Phone (785) 862-9222

Other identifiers 1

IdentifierTypeStateIssuer
013420OtherBLUE CROSS BLUE SHIELD

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

LicenseStateTypeSpecialty
17-00109KSMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306879770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 SW LINCOLNSHIRE CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666109662",
            "telephone_number": "785-862-9222",
            "fax_number": "785-862-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 SW LINCOLNSHIRE CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666109662",
            "telephone_number": "785-862-9222",
            "fax_number": "785-862-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLINKA",
        "first_name": "JILL",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KS",
            "license": "17-00109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "013420",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.