Individual provider Active NPI

Kenneth Eugene Lassman, OTR/L

  • Occupational Therapist
  • Topeka, KS
National Provider Identifier
1770108490
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
501 SW Jackson St Ste 100
Topeka, KS 66603-9701
Phone
(785) 233-4572
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

501 SW Jackson St Ste 100
Topeka, KS 66603-9701

Mailing address

1357 N 1000 Rd
Lawrence, KS 66046-9608
Phone (785) 843-0253

Other identifiers 1

IdentifierTypeStateIssuer
17-0653OtherKSKANSAS STATE BOARD OF HEALING ARTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303002609 KS Practitioner - Occupational Therapist in Private Practice 0648686337 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minds Matter, LLC Occupational Therapist CurrentSince Jan 15, 2021 Accepting new patients

Locations

7819 Conser Pl
Overland Park, KS 66204
Phone (913) 789-9900

3965 W 83rd St
Prairie Vlg, KS 66208
Phone (913) 258-5322

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1770108490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 N 1000 RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660469608",
            "telephone_number": "785-843-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SW JACKSON ST STE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666039701",
            "telephone_number": "785-233-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSMAN",
        "first_name": "KENNETH",
        "middle_name": "EUGENE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF HEALING ARTS",
            "identifier": "17-0653",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.