Active NPI
Katrina Von Bevern
- Physical Rehabilitation Occupational Therapist
- Overland Park, KS
National Provider Identifier
1780077347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 17-01479
- Practice address
- 5901 W 107TH St
Overland Park, KS 66207-3882 - Phone
- (913) 901-8200
- Fax
- (913) 383-2160
- NPI assigned
- Mar 6, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 17-01479 | KS | Primary |
Addresses
Primary practice location
5901 W 107TH St
Overland Park, KS 66207-3882
Mailing address
5901 W 107TH St
Overland Park, KS 66207-3882
Phone (913) 901-8200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17-01479 | KS | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1780077347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 W 107TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662073882",
"telephone_number": "913-901-8200",
"fax_number": "913-383-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 W 107TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662073882",
"telephone_number": "913-901-8200",
"fax_number": "913-383-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON BEVERN",
"first_name": "KATRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "KS",
"license": "17-01479",
"primary": true
}
],
"identifiers": [],
"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 Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.