Individual provider Active NPI

Judith L. Raugewitz, COTA/L

  • Occupational Therapy Assistant
  • Odessa, MO
National Provider Identifier
1750118345
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2000143558 Issued in MO
Practice address
309 Park LN Unit M
Odessa, MO 64076-1676
Phone
(816) 565-2490
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2000143558 MO Primary

Addresses

Primary practice location

309 Park LN Unit M
Odessa, MO 64076-1676

Mailing address

309 Park LN Unit M
Odessa, MO 64076-1676
Phone (816) 565-2490

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
2000143558MOMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Body Therapy LLC Occupational Therapy Assistant CurrentSince Oct 20, 2024 Accepting new patients

Locations

309 Park Ln
Unit M
Odessa, MO 64076
Phone (816) 565-2490

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1750118345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PARK LN UNIT M",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761676",
            "telephone_number": "816-565-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PARK LN UNIT M",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761676",
            "telephone_number": "816-565-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUGEWITZ",
        "first_name": "JUDITH",
        "middle_name": "L.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2000143558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.