Kinsey Ann Maddox, OT

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

2015036501 Issued in MO

Practice address

204 NE Chipman Rd
Lees Summit, MO 64063-2404

Phone

(816) 682-5736

NPI assigned

Aug 6, 2017

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

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": "1501977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501977600000",
    "number": "1700301264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 EASY ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494706",
            "telephone_number": "580-650-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 NE CHIPMAN RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632404",
            "telephone_number": "816-682-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "KINSEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-06",
        "last_updated": "2017-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MO",
            "license": "2015036501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M a Mirza, LLC
• Kristi K Mace
• Bridgette Denise Mack, LPC
• Camri Mack, RN
• Daphne Mack, LPC
• Madhukar Chhatre MD PC
• Erica Magruder, PT, DPT
• Taylor Magruder
• Charles Edward Mahon, LPN
• Amity Brooke Mahoney, PA-C

• Neurorehabilitation Occupational Therapist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Neurorehabilitation Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2017; 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.