Individual provider Active NPI

Samantha Renee Flanagan, OTD, OTR/L

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1356079594
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2022032186 Issued in MO
Practice address
452 NW Legacy Dr
Kansas City, MO 64155-2894
Phone
(816) 436-6383
Fax
(816) 436-8143
NPI assigned
Aug 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2022032186 MO Primary

Addresses

Primary practice location

452 NW Legacy Dr
Kansas City, MO 64155-2894

Mailing address

7425 N Smalley Ave
Kansas City, MO 64158-1242
Phone (417) 850-2015

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srkopp@selectmedical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825001070 MO Practitioner - Occupational Therapist in Private Practice 1153705199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 6, 2022 Accepting new patients

Locations

452 NW Legacy Dr
Kansas City, MO 64155
Phone (816) 436-6383

9411 N Oak Trfy
Ste 200
Kansas City, MO 64155
Phone (816) 436-6383

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1356079594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 N SMALLEY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581242",
            "telephone_number": "417-850-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 NW LEGACY DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552894",
            "telephone_number": "816-436-6383",
            "fax_number": "816-436-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "SAMANTHA",
        "middle_name": "RENEE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2022032186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srkopp@selectmedical.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication",
            "address_1": "9411 N Oak Trfy Ste 200",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641552262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.