Active NPI
Kathy J Chandler, COTA/L
- Occupational Therapy Assistant
- Buffalo, MO
National Provider Identifier
1366733503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2010028092
- Practice address
- 631 W Main St
Buffalo, MO 65622-7496 - Phone
- (417) 345-5424
- NPI assigned
- Apr 21, 2011
- Last updated
- Apr 21, 2011
- Sex
- Female
- 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 Therapy Assistant | 224Z00000X | 2010028092 | MO | Primary |
Addresses
Primary practice location
631 W Main St
Buffalo, MO 65622-7496
Mailing address
5253 S Morning Glory LN
Battlefield, MO 65619-8217
Phone (417) 844-7962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010028092 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1366733503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5253 S MORNING GLORY LN",
"city": "BATTLEFIELD",
"state": "MO",
"postal_code": "656198217",
"telephone_number": "417-844-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 W MAIN ST",
"city": "BUFFALO",
"state": "MO",
"postal_code": "656227496",
"telephone_number": "417-345-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "KATHY",
"middle_name": "J",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2010028092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, MO
- Buffalo Prairie Opco, LLC (Buffalo Prairie Center for Rehab and Healthcare)
- Buffalo Prairie Operations Management LLC
- Buffalo Professional Pharmacy Inc (Corner Drug Store)
- Buffalo SNF Operations, LLC (Buffalo Prairie Center for Rehab and Healthcare)
- Scott M Burks, O,D,
- Citizens Memorial Health Care Foundation (Citizens Memorial HME-Buffalo)
- Citizens Memorial Health Care Foundation (Colonial Springs Healthcare Center)
- Citizens Memorial Healthcare (Dallas County Family Medical Center)
- Citizens Memorial Hospital District (CMH Buffalo Community Pharmacy)
- Nina Jane Coffey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.