Organization Active NPI

Northland Early Education Center

  • Pediatric Physical Therapist
  • Kansas City, MO
National Provider Identifier
1366596520
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2001031051 Issued in MO
Legal business name
NORTHLAND EARLY EDUCATION CENTER
Practice address
8630 N Oak Trfy
Kansas City, MO 64155-2471
Phone
(816) 420-9005
Fax
(816) 420-9010
NPI assigned
Jan 23, 2007
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Jill A. Bartlett
Title
Executive Director
Phone
(816) 420-9005

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 2001031051 MO Primary
Pediatric Occupational Therapist 225XP0200X 000623 MO
Speech-Language Pathologist 235Z00000X 117116 MO

Addresses

Primary practice location

8630 N Oak Trfy
Kansas City, MO 64155-2471

Mailing address

8630 N Oak Trfy
Kansas City, MO 64155-2471
Phone (816) 420-9005

National Provider Directory

National Provider Directory

Locations

8630 N Oak Trfy
Kansas City, MO 64155
Phone (816) 420-9005

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1366596520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552471",
            "telephone_number": "816-420-9005",
            "fax_number": "816-420-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 N OAK TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552471",
            "telephone_number": "816-420-9005",
            "fax_number": "816-420-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND EARLY EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-420-9005"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MO",
            "license": "2001031051",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "000623",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "117116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 5, 2014; 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.