Roxanne Michelle Nielsen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-2412 Issued in KS

Practice address

6555 W 75TH St
Overland Park, KS 66204-3023

Phone

(913) 383-9876

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Fox Rehab PT and OT KS LLC

  • Physical Therapist
  • Lenexa, KS
  • NPI 1023845278

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1376137059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043023",
            "telephone_number": "913-383-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043023",
            "telephone_number": "913-383-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "ROXANNE",
        "middle_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-2412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHAB PT AND OT KS LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "12345 W 95th St Fl 2",
            "city": "Lenexa",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662153853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Nicholson
• Tucker Bradley Nicholson, MD
• Kendall Nick, RPT
• Breanne Michelle Niebuhr, O.D.
• Elizabeth Ann Niederwerder, CRNA
• Madison Nighswonger
• Nigus Chiropractic and Acupuncture, P.a.
• Tyler Jackson Nigus
• Nikki Green Counseling
• Colleen Ann Nilson, LPC

• Occupational Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.