Molly Gutteridge, MOT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

17-03121 Issued in KS

Practice address

879 E 1259 Rd
Lawrence, KS 66047-9201

Phone

(785) 766-6588

Fax

(785) 331-0667

NPI assigned

Jun 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1376994673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 SW 13TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 E 1259 RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660479201",
            "telephone_number": "785-766-6588",
            "fax_number": "785-331-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTERIDGE",
        "first_name": "MOLLY",
        "name_prefix": "Miss",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KS",
            "license": "17-03121",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2015032082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Guastello, MD
• Justin M Gudenkauf, LMSW
• Chad Ambrose Gustin, M.D.
• Kathy Guth, A.R.N.P.
• Karen Denise Gutierrez Avila
• Spencer Gwin
• Haylee Dawn Haag
• James Stephen Haase, CRNA
• Sarah F Haavik, PHD
• Leah Susan Hadl, LMSW

• Pediatric Occupational Therapist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Pediatric Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.