Richard Joseph Pankiewicz, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004196 Issued in MO

Practice address

902 West Battlefield Rd
Springfield, MO 65807

Phone

(417) 771-5515

Fax

(417) 771-5998

NPI assigned

Jul 20, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Apex Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Ballwin, MO
  • NPI 1295929644
  Medicare reassignment NPD
• Apex Physical Therapy, LLC

  dba ApexNetwork Physical Therapy

  • Physical Therapy Clinic/Center
  • Centerton, AR
  • NPI 1710732607
  NPD
• Kuehnel Rehabilitation Services LLC

  • Physical Therapy Clinic/Center
  • Nixa, MO
  • NPI 1366088072
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1790410140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 WHITETAIL RIDGE LN.",
            "city": "BROOKLINE",
            "state": "MO",
            "postal_code": "65619",
            "telephone_number": "417-268-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WEST BATTLEFIELD RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-771-5515",
            "fax_number": "417-771-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKIEWICZ",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004196",
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": "1051100152",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine J Palmer, PA-C
• Jennifer Leigh Palmer
• Susan Palmer, R.PH.
• Tyler Palmer, M.S., CFY-SLP
• Joanna Elaine Montejar Pangilinan, MD
• Rolando Rosal Papagayo, DDS
• Candace B Papen, MSW, LCSW
• Anoop Chandrika Parameswaran, MD
• Heather E Paris, MS, LPC
• Sandra Gail Parisi, M.S., LPC

• Occupational Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.