Individual provider Active NPI

Elaina McCall Bradley, MOTR/L

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1407404692
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2019032891 Issued in MO
Practice address
9601 James a Reed Rd
Kansas City, MO 64134-1652
Phone
(816) 316-7111
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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 2019032891 MO Primary

Addresses

Primary practice location

9601 James a Reed Rd
Kansas City, MO 64134-1652

Mailing address

9601 James a Reed Rd
Kansas City, MO 64134-1652
Phone (816) 316-7111

Other practice location 1

5401 E 103rd St
Kansas City, MO 64137-1365
Phone (816) 316-7111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elainab@hickmanmills.org

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
2019032891MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1407404692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 JAMES A REED RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341652",
            "telephone_number": "816-316-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 JAMES A REED RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341652",
            "telephone_number": "816-316-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 E 103rd St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641371365",
            "country_code": "US",
            "telephone_number": "816-316-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ELAINA",
        "middle_name": "MCCALL",
        "name_prefix": "Ms.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2019032891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elainab@hickmanmills.org",
            "affiliation": "N",
            "address_1": "5401 E 103rd St",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641371365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 30, 2019; 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.