Kathleen Noell Kroutil, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2018014372 Issued in MO

Practice address

4586 S 116TH Rd
Bolivar, MO 65613-8547

Phone

(417) 326-2466

Fax

(417) 326-7739

NPI assigned

May 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Noell Bodenhamer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Motor Monkeys LLC

  • Pediatric Occupational Therapist
  • Bolivar, MO
  • NPI 1154761948

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1669962551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E EDGEWOOD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073636",
            "telephone_number": "417-818-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4586 S 116TH RD",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656138547",
            "telephone_number": "417-326-2466",
            "fax_number": "417-326-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUTIL",
        "first_name": "KATHLEEN",
        "middle_name": "NOELL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2018014372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BODENHAMER",
            "middle_name": "NOELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lou Thelen Kemp, MA
• Wesley Don Kemp, O.D.
• Kayla Kittle, MD
• Ajdin Kobic, MD
• Zackery Koch, BA, MAADAC-I
• Ashley Michele Lane, D.O.
• Lee A Lane, DPM, MPH
• Chad David Law, D.O.
• Joshua Charles Layman, PT, PHD
• Bethany S Lemmon, PA-C

• Occupational Therapist in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.