Cassie Jorae Bollinger

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2021016828 Issued in MO

Practice address

19006 E Ponca Dr
Independence, MO 64056-2113

Phone

(417) 576-5323

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1730751538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19006 E PONCA DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640562113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19006 E PONCA DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640562113",
            "telephone_number": "417-576-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "CASSIE",
        "middle_name": "JORAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2021016828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A Blum, M.D.
• Steven Wayne Blum Jr., D.D.S.
• Calie Boberg
• Mary Bode-Smith, MS, LPC
• Johnna L Bodenstab, ARNP
• Justine Barye Bolton, PT, DPT, ATC, LAT
• Carrie S Bond, LPC
• Melinda B Bonham, MED, MS, LMFT
• Tasha Bonilla, RBT
• Shelby Boos, LPN

• Occupational Therapy Assistant in Independence, MO
• Providers in Independence, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.