Clinique Outland, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2014000189 Issued in MO

Practice address

12100 Wornall Rd
Kansas City, MO 64145-1764

Phone

(816) 941-0525

NPI assigned

Sep 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1609425172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 N MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641557323",
            "telephone_number": "816-365-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451764",
            "telephone_number": "816-941-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTLAND",
        "first_name": "CLINIQUE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-08",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2014000189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason T. Ottis, D.C.
• Andrew Otto, DMD
• Margaret Otto, L.S.C.S.W.,L.C.S.W,
• Jeanne-Marie Ouellette, LCSW
• Our Home 2 Yours LLC
• Outpatient Anesthesia Specialists LLC
• Leah Overbay
• Overland Pediatrics and Infectious Disease Care LLC
• Emily Overland, LPC
• James Robert Overlease III, M.D.

• Occupational Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.