Mikayla Renee Stupps, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2020028656 Issued in MO

Practice address

10144 N Tracy Ave
Kansas City, MO 64155-3716

Phone

(816) 868-7021

NPI assigned

Sep 4, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1366056467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10144 N TRACY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553716",
            "telephone_number": "816-868-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10144 N TRACY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553716",
            "telephone_number": "816-868-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPPS",
        "first_name": "MIKAYLA",
        "middle_name": "RENEE",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2020028656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Jill Stuit, R.N.
• Rebecca Stukenholtz, MS, CCC-SLP
• Matthew Alan Stull, DC
• Keenan Stump, SLP
• Christopher Joel Stunz, CPO
• Robert B Sturdevant, D.O
• Tiffany R Sturdivant, MSW,LCSW
• Zachary Sturm, PTA
• Lua Stutzer, RN
• Ashtyn Stutzman, DO

• Occupational Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.