Individual provider Active NPI

Staci Wright, COTA/L

  • Occupational Therapy Assistant
  • Kansas City, MO
National Provider Identifier
1700513041
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
18-01850 Issued in KS
Practice address
2 Emanuel Cleaver II Blvd
Kansas City, MO 64112-1654
Phone
(816) 839-4730
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18-01850 KS Primary
Occupational Therapy Assistant 224Z00000X 2014019381 MO

Addresses

Primary practice location

2 Emanuel Cleaver II Blvd
Kansas City, MO 64112-1654

Mailing address

4201 W 54TH St
Roeland Park, KS 66205-2406
Phone (816) 803-4197

Other practice location 1

10300 Indian Creek Pkwy
Overland Park, KS 66210-2484
Phone (913) 354-6575

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
18-01850KSMDOccupational Therapy Assistant
2014019381MOMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1700513041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W 54TH ST",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052406",
            "telephone_number": "816-803-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EMANUEL CLEAVER II BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121654",
            "telephone_number": "816-839-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 Indian Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662102484",
            "country_code": "US",
            "telephone_number": "913-354-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "STACI",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "18-01850",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2014019381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.