NPIMap

Kaitlin Doyle

Individual provider Active NPI Occupational Therapist · Grain Valley, MO

NPI 1669045811 · NPPES record last updated Jul 23, 2021

Key facts

NPI
1669045811
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2016031423 (MO)
Practice address
105 SW Eagles Pkwy
Grain Valley, MO 64029-8512
Phone
(816) 265-1170
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

  • Cwo Enterprises Pediatric Occupational Therapist · Grain Valley, MO · NPI 1841890340
    NPD

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2016031423MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cwo Enterprises Current
since Jul 25, 2021		 Accepting new patients

Locations

1700 SW US Highway 40
Ste 210
Blue Springs, MO 64015
Phone (816) 265-1170

105 SW Eagles Pkwy
Grain Valley, MO 64029
Phone (816) 265-1170

120 SW Garden St
Grain Valley, MO 64029
Phone (816) 265-1170

7605 NW Roanridge Rd
Kansas City, MO 64151
Phone (816) 265-1170

860 Haines
Ste 100
Liberty, MO 64068
Phone (816) 429-5039

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2016031423 MO Yes

Addresses

Primary practice location

105 SW Eagles Pkwy
Grain Valley, MO 64029-8512

Mailing address

1700 SW US Highway 40 Ste 210
Blue Springs, MO 64015-4646
Phone (816) 265-1170

Other providers in Grain Valley, MO

All providers in Grain Valley, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.