Richel Pingkian

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2004003754 Issued in MO

Practice address

710 Broadridge Dr
Jackson, MO 63755

Phone

(573) 243-4704

NPI assigned

Nov 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1447430202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E JEFFERSON ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BROADRIDGE DR",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "63755",
            "telephone_number": "573-243-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGKIAN",
        "first_name": "RICHEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2004003754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patriot Medical Supplies
• Patriot Medical Supplies
• Aliecia Diann Penrod
• Charles S Pewitt, DO
• Julia Annette Pewitt, D.O.
• Lindsey Michelle Pippins, MABC, BT, QIDP, DDP
• Kaitlyn C Poythress, MA, BCBA, LBA
• Alissa Marie Quaite, ED.S, LPC, RPT
• Quincy Medical Supplies, LLC
• Chelsea R Reese, L.M.T.

• Occupational Therapist in Jackson, MO
• Providers in Jackson, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.