Individual provider Active NPI

Gretchen Elise Burchstead, OTD

  • Occupational Therapist
  • Overland Park, KS
National Provider Identifier
1376237651
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
T-05955 Issued in KS
Practice address
10701 Nall Ave Ste 130
Overland Park, KS 66211-1244
Phone
(913) 663-2555
Fax
(913) 663-3766
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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 T-05955 KS Primary

Addresses

Primary practice location

10701 Nall Ave Ste 130
Overland Park, KS 66211-1244

Mailing address

6614 W 73Rd St
Overland Park, KS 66204-2025
Phone (913) 709-8249

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

LicenseStateTypeSpecialty
T-05955KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Rehab Physical & Hand Therapy PastSince Jun 11, 2023 Accepting new patients
Sports Rehabilitation & Physical Therapy Associates Inc. Occupational Therapist PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1376237651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 W 73RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042025",
            "telephone_number": "913-709-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE STE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111244",
            "telephone_number": "913-663-2555",
            "fax_number": "913-663-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHSTEAD",
        "first_name": "GRETCHEN",
        "middle_name": "ELISE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "T-05955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.