Individual provider Active NPI

Brandy Archie, OTR

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1548616048
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2009008897 Issued in MO
Practice address
1126 Queens PL
Kansas City, MO 64131-3264
Phone
(816) 301-5170
Fax
(816) 929-6321
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapist 225XE0001X 2009008897 MO
Occupational Therapist 225X00000X 2009008897 MO Primary

Addresses

Primary practice location

1126 Queens PL
Kansas City, MO 64131-3264

Mailing address

1126 Queens PL
Kansas City, MO 64131-3264
Phone (816) 301-5170

Other practice location 1

851 NW 45th St Ste 209
Kansas City, MO 64116-4613
Phone (816) 452-1633

Other identifiers 1

IdentifierTypeStateIssuer
2009008897OtherMOOT LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160519000720 MO Practitioner - Occupational Therapist in Private Practice 8325337090 Reassigns benefits to 1 organization
I20210119001697 KS Practitioner - Occupational Therapist in Private Practice 8325337090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1126 Queens PL
Kansas City, MO 64131-3264
Phone (816) 301-5170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Asksamie Inc. Environmental Modification Current Accepting new patients
Rehab Advantage Solutions, PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

8477 S Suncoast Blvd
Homosassa, FL 34446
Phone (800) 381-0822

Organizations & group practices 3

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1548616048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 QUEENS PL",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313264",
            "telephone_number": "816-301-5170",
            "fax_number": "816-929-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 QUEENS PL",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313264",
            "telephone_number": "816-301-5170",
            "fax_number": "816-929-6321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 NW 45th St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641164613",
            "country_code": "US",
            "telephone_number": "816-452-1633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHIE",
        "first_name": "BRANDY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "MO",
            "license": "2009008897",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2009008897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE #",
            "identifier": "2009008897",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "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 Sep 9, 2020; 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.