Jill Cannon, COTA
Individual provider Active NPI Occupational Therapy Assistant · Overland Park, KS
NPI 1700524428 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1700524428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 18-01845 (KS)
- Practice address
- 7819 Conser PL
Overland Park, KS 66204-2820 - Phone
- (913) 789-9900
- NPI assigned
- May 23, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-01845 | KS | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 18-01845 | KS | Yes |
Addresses
Primary practice location
7819 Conser PL
Overland Park, KS 66204-2820
Mailing address
7819 Conser PL
Overland Park, KS 66204-2820
Phone (913) 789-9900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | medicalrecords@mindsmatterllc.com | Health Information Exchange (HIE) |
Other providers in Overland Park, KS
- Melissa Canchola
- Candid Kansas, P.a.
- Laura Canfield
- Becky Marie Cannady
- Emma Katherine Cannon
- Michael O Cantrell
- Cap Communications, LLC
- Nicolette Erin Capell
- Allison M Caplinger
- Anna Capps
All providers in Overland Park, KS · Occupational Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.