Individual provider Active NPI

Layne Miller Koechner

  • Occupational Therapy Assistant
  • Independence, MO
National Provider Identifier
1699326355
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2018032395 Issued in MO
Practice address
14500 E 42ND St S Ste 220
Independence, MO 64055-4700
Phone
(816) 478-7800
Fax
(816) 478-7839
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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 2018032395 MO Primary

Addresses

Primary practice location

14500 E 42ND St S Ste 220
Independence, MO 64055-4700

Mailing address

14500 E 42ND St S Ste 220
Independence, MO 64055-4700
Phone (816) 478-7800

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
2018032395MOMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Rehabilitation, LLC CurrentSince Sep 29, 2019 Accepting new patients

Locations

14500 E 42nd St S
Ste 220
Independence, MO 64055
Phone (816) 478-7800

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.

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1699326355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 E 42ND ST S STE 220",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554700",
            "telephone_number": "816-478-7800",
            "fax_number": "816-478-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 E 42ND ST S STE 220",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554700",
            "telephone_number": "816-478-7800",
            "fax_number": "816-478-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOECHNER",
        "first_name": "LAYNE",
        "middle_name": "MILLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2018032395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.