Active NPI
Judith Jean Patrick, OT
- Occupational Therapist
- Sedalia, MO
National Provider Identifier
1568938322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1520 Thompson Blvd
Sedalia, MO 65301 - Phone
- (660) 530-5575
- NPI assigned
- Oct 19, 2018
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | |||
| Hand Occupational Therapist | 225XH1200X | |||
| Human Factors Occupational Therapist | 225XH1300X | |||
| Neurorehabilitation Occupational Therapist | 225XN1300X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1520 Thompson Blvd
Sedalia, MO 65301
Mailing address
7927 Falmouth Street
Prairie Village, KS 66208-4043
Phone (913) 220-0061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1568938322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7927 FALMOUTH STREET",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084043",
"telephone_number": "913-220-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 THOMPSON BLVD",
"city": "SEDALIA",
"state": "MO",
"postal_code": "65301",
"telephone_number": "660-530-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "JUDITH",
"middle_name": "JEAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.