Active NPI
James Dick, OTR/L
- Occupational Therapist
- Eudora, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-03428
- Practice address
- 1415 Maple St
Eudora, KS 66025-9419 - Phone
- (785) 542-2176
- NPI assigned
- Nov 21, 2024
- Last updated
- Nov 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17-03428 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Rehabilitation, Inc | Current | Accepting new patients | |
| Key Rehabilitation Inc | Current | Accepting new patients | |
| Key Rehabilitation Inc | Occupational Therapist | Current | Accepting new patients |
| Key Rehabilitation, Inc | Current | 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.
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Psychologist
- Gardner, KS
- NPI 1205106457
-
dba GeroPsych, a division of Key Rehabilitation, Inc.
- Psychologist
- Salem, MO
- NPI 1821335613
-
- Rehabilitation Hospital Unit
- Atchison, KS
- NPI 1316064538
-
- Rehabilitation Hospital Unit
- Carthage, MO
- NPI 1588781686
Occupational Therapist
-
dba GeroPsych, a division of Key Rehabilitation, Inc
- Clinical Psychologist
- Fargo, ND
- NPI 1679328975
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.