Lysbeth Jane Jordan, MOT OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

005493 Issued in MO

Practice address

3014 Edmond St
Saint Joseph, MO 64501-3312

Phone

(816) 383-2772

Fax

(816) 232-8777

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Lysbeth Jane Kleeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sonshine Therapy Services

  • Occupational Therapist
  • Saint Joseph, MO
  • NPI 1396247185
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1326192550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 EDMOND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645013312",
            "telephone_number": "816-590-3213",
            "fax_number": "816-232-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 EDMOND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645013312",
            "telephone_number": "816-383-2772",
            "fax_number": "816-232-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LYSBETH",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "MOT OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "005493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYSBETH",
            "last_name": "KLEEMAN",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "MOT OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gillian Leray Jones
• Jane Marie Jones, D.O.
• Sidney James Jones, MD STUDENT
• Tracy Lynn Jones, PTA
• Lucas Bo Joniaux
• Jeffrin Joseph
• Beulah Joshua
• Holden Jackson Joynes, STUDENT
• Julie Odonnell PHD LLC
• Perrin Saville Jungbluth, D.D.S., M.D.

• Pediatric Occupational Therapist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Pediatric Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.