Jane Noyuri Ishikawa, OTR/L

Key facts

NPI

1609409127

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

17-03676 (KS)

Practice address

6907 Shawnee Mission Pkwy
Suite #207
Overland Park, KS 66202

Phone

(888) 913-1910

Fax

(877) 913-1174

NPI assigned

Feb 13, 2020

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 13, 2020.

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1609409127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 SHAWNEE MISSION PKWY",
            "address_2": "SUITE #207",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66202",
            "telephone_number": "888-913-1910",
            "fax_number": "877-913-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 SHAWNEE MISSION PKWY",
            "address_2": "SUITE #207",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66202",
            "telephone_number": "888-913-1910",
            "fax_number": "877-913-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIKAWA",
        "first_name": "JANE",
        "middle_name": "NOYURI",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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