Mary T Bessenbacher – Occupational Therapist

Key facts

NPI: 1306971999
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 2003007904 (MO)
Practice address: Grandview C 4
13015 10TH St
Grandview, MO 64030-2401
Phone: (816) 316-5047
Fax: (816) 316-5081
NPI assigned: Feb 22, 2007
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.

Consolidated School Dist 4 Local Education Agency (LEA) · Grandview, MO · NPI 1497895254

NPD (past) OCCUPATIONAL THERAPIST

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2003007904	MO	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Consolidated School Dist 4	Occupational Therapist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	2003007904	MO	Yes

Addresses

Primary practice location

Grandview C 4
13015 10TH St
Grandview, MO 64030-2401

Mailing address

13015 10TH St
Grandview, MO 64030-2401
Phone (816) 316-5047

Other identifiers

Identifier	Type	State	Issuer
478777105	Medicaid	MO

Other providers in Grandview, MO

All providers in Grandview, MO · Occupational Therapist in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.