Individual provider Active NPI

Mary Sue Chipley, OTR/L

  • Occupational Therapist
  • Olathe, KS
National Provider Identifier
1760072714
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-03755 Issued in KS
Practice address
20911 W 153Rd St
Olathe, KS 66061-6219
Phone
(913) 397-2900
NPI assigned
Jan 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2020041015 MO
Occupational Therapist 225X00000X 17-03755 KS Primary

Addresses

Primary practice location

20911 W 153Rd St
Olathe, KS 66061-6219

Mailing address

5404 Harrison St Apt 1
Kansas City, MO 64110-2562
Phone (636) 578-8227

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
17-03755KSMDOccupational Therapist
2020041015MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1760072714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 HARRISON ST APT 1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641102562",
            "telephone_number": "636-578-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 W 153RD ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616219",
            "telephone_number": "913-397-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPLEY",
        "first_name": "MARY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2020041015",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.