Individual provider Active NPI

Natasha Plumberg, COTA/L

  • Occupational Therapy Assistant
  • Springfield, MO
National Provider Identifier
1588430664
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2021040187 Issued in MO
Practice address
1501 E Pythian St
Springfield, MO 65802-2139
Phone
(417) 864-7887
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2021040187 MO Primary

Addresses

Primary practice location

1501 E Pythian St
Springfield, MO 65802-2139

Mailing address

312 E Rosalie
Strafford, MO 65757-4222
Phone (417) 463-0881

Other names 1

  • Natasha Lewis Professional name

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

State licenses

LicenseStateTypeSpecialty
2021040187MOMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1588430664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E ROSALIE",
            "city": "STRAFFORD",
            "state": "MO",
            "postal_code": "657574222",
            "telephone_number": "417-463-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E PYTHIAN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022139",
            "telephone_number": "417-864-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMBERG",
        "first_name": "NATASHA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2021040187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "LEWIS",
            "credential": "COTA/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.