Individual provider Active NPI

Lindsey Irwin, COTA/L

  • Occupational Therapy Assistant
  • Eureka, MO
National Provider Identifier
1407458045
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2019010110 Issued in MO
Practice address
313 Augustine Rd
Eureka, MO 63025-1935
Phone
(636) 938-6770
NPI assigned
Nov 9, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2019010110 MO Primary

Addresses

Primary practice location

313 Augustine Rd
Eureka, MO 63025-1935

Mailing address

4108 Highway T
Marthasville, MO 63357-2022
Phone (636) 357-8428

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lindsey.irwin@rehabcare.com KINDRED HEALTHCARE OPERATING, LLC

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
2019010110MOMDOccupational Therapy Assistant

Interoperability endpoints

  • Direct secure messaging: lindsey.irwin@rehabcare.com

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1407458045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 HIGHWAY T",
            "city": "MARTHASVILLE",
            "state": "MO",
            "postal_code": "633572022",
            "telephone_number": "636-357-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 AUGUSTINE RD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251935",
            "telephone_number": "636-938-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "LINDSEY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2019010110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lindsey.irwin@rehabcare.com",
            "affiliation": "Y",
            "affiliationName": "KINDRED HEALTHCARE OPERATING, LLC",
            "address_1": "1080 Marie Ln",
            "city": "Union",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630841056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.