Individual provider Active NPI

Marissa Tokerud Schuett

  • Occupational Therapist
  • Overland Park, KS
National Provider Identifier
1568976488
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-03353 Issued in KS
Practice address
12100 W 109TH St
Overland Park, KS 66210-1200
Phone
(316) 308-2265
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-03353 KS Primary

Addresses

Primary practice location

12100 W 109TH St
Overland Park, KS 66210-1200

Mailing address

12100 W 109TH St
Overland Park, KS 66210-1200
Phone (316) 308-2265

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1568976488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 W 109TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101200",
            "telephone_number": "316-308-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 W 109TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101200",
            "telephone_number": "316-308-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUETT",
        "first_name": "MARISSA",
        "middle_name": "TOKERUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.