Individual provider Active NPI

Vicki Lynn Hamilton, OT

  • Occupational Therapist
  • Overland Park, KS
National Provider Identifier
1417417304
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-01435 Issued in KS
Practice address
6830 W 121St CT
Overland Park, KS 66209-2021
Phone
(913) 991-3630
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 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 17-01435 KS Primary

Addresses

Primary practice location

6830 W 121St CT
Overland Park, KS 66209-2021

Mailing address

8 S Lakeview Dr
Goddard, KS 67052-9229
Phone (316) 371-0917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190423000654 KS Practitioner - Occupational Therapist in Private Practice 1951643949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Care, LLCGroup PAC ID 7315073954, 10 clinicians

Practice addresses (Care Compare)

1400 S 183Rd St W
Goddard, KS 67052-9357
Phone (316) 550-6343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Care, LLC Occupational Therapist CurrentSince Mar 19, 2019 Accepting new patients

Locations

6731 W 121st St
Ste 100
Overland Park, KS 66209
Phone (913) 239-8777

6830 W 121st Ct
Overland Park, KS 66209
Phone (913) 239-8777

Organizations & group practices 1

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1417417304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S LAKEVIEW DR",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670529229",
            "telephone_number": "316-371-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 W 121ST CT",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092021",
            "telephone_number": "913-991-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-01435",
            "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 Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.