Individual provider Active NPI

James Dick, OTR/L

  • Occupational Therapist
  • Eudora, KS
National Provider Identifier
1366267668
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-03428 Issued in KS
Practice address
1415 Maple St
Eudora, KS 66025-9419
Phone
(785) 542-2176
NPI assigned
Nov 21, 2024
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 17-03428 KS Primary

Addresses

Primary practice location

1415 Maple St
Eudora, KS 66025-9419

Mailing address

522 E 129TH Ter
Kansas City, MO 64145-1355
Phone (913) 278-9387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241205001382 KS Practitioner - Occupational Therapist in Private Practice 9335675081 Reassigns benefits to 1 organization
I20250408002876 MO Practitioner - Occupational Therapist in Private Practice 9335675081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Rehabilitation IncGroup PAC ID 9638086432, shared by 9 NPIs, 59 clinicians

Practice addresses (Care Compare)

2900 NE Kendallwood Pkwy
Gladstone, MO 64119-1858
Phone (816) 249-1650

6220 Martway St
Mission, KS 66202-3381
Phone (913) 403-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-03428KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation, Inc Current Accepting new patients
Key Rehabilitation Inc CurrentSince Nov 4, 2024 Accepting new patients
Key Rehabilitation Inc Occupational Therapist CurrentSince Apr 1, 2025 Accepting new patients
Key Rehabilitation, Inc CurrentSince Nov 4, 2024 Accepting new patients
Key Rehabilitation,Inc. Current Accepting new patients

Locations

1415 Maple St
Eudora, KS 66025
Phone (785) 542-2176

2020 N Tyler Rd
Wichita, KS 67212
Phone (316) 295-4591

2900 NE Kendallwood Pkwy
Kansas City, MO 64119
Phone (816) 280-4280

620 N Jefferson St
Saint James, MO 65559
Phone (573) 265-0448

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1366267668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E 129TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451355",
            "telephone_number": "913-278-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAPLE ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660259419",
            "telephone_number": "785-542-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICK",
        "first_name": "JAMES",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eudora, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.