Active NPI
Joseph T. Edward Sledge
- Occupational Therapist
- Overland Park, KS
National Provider Identifier
1730206178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 945
- Practice address
- 10300 W 103Rd St Ste 300
Overland Park, KS 66214-2658 - Phone
- (913) 894-1910
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 945 | NE | Primary |
Addresses
Primary practice location
10300 W 103Rd St Ste 300
Overland Park, KS 66214-2658
Mailing address
2411 S 3Rd Street PLZ
Omaha, NE 68108-1707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 945 | Other | NE | STATE LICENSURE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730206178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 S 3RD STREET PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681081707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 W 103RD ST STE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662142658",
"telephone_number": "913-894-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEDGE",
"first_name": "JOSEPH",
"middle_name": "T. EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "945",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.