Active NPI
Brandy Archie, OTR
- Occupational Therapist
- Kansas City, MO
National Provider Identifier
1548616048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2009008897
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009008897 | Other | MO | OT LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asksamie Inc. | Environmental Modification | Current | Accepting new patients |
| Rehab Advantage Solutions, PLLC | Current | 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.
-
- Occupational Therapist
- Kansas City, MO
- NPI 1881179448
-
- Environmental Modification Occupational Therapist
- Kansas City, MO
- NPI 1851109680
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.