Kathy L Aubrey, COTA/L

Key facts

NPI

1508335266

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapy Assistant 224Z00000X

License

2012036485 (MO)

Practice address

1317 N 36TH St
Saint Joseph, MO 64506-2359

Phone

(816) 676-1630

NPI assigned

Nov 24, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 24, 2018.

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543017600000",
    "number": "1508335266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 MOCKINGBIRD LN",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063327",
            "telephone_number": "405-596-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N 36TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062359",
            "telephone_number": "816-676-1630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 N 36th St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645062359",
            "country_code": "US",
            "telephone_number": "816-676-1630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUBREY",
        "first_name": "KATHY",
        "middle_name": "L",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-24",
        "last_updated": "2018-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2012036485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

• Kaitlin Merete Ash
• Crystal Lyn Ashburn
• Mahaletwork Assefa, DO
• Whitney B Atha, APRN
• Adriana Athon, PA-C
• Audiology Systems Inc
• Aw Operation LLC
• Ashley Ayers, STUDENT
• Azure Dental, LLC
• B-in Motion Chiropractic, Inc

All providers in Saint Joseph, MO · Occupational Therapy Assistant in Missouri