Individual provider Active NPI

Edward K Pike, B.S.O.T

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1790971232
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002826 Issued in MO
Practice address
4518 NE 56TH St
Kansas City, MO 64119-2850
Phone
(816) 550-4257
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 002826 MO
Occupational Therapist 225X00000X 002826 MO Primary

Addresses

Primary practice location

4518 NE 56TH St
Kansas City, MO 64119-2850

Mailing address

4518 NE 56TH St
Kansas City, MO 64119-2850
Phone (816) 550-4257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902001944 MO Practitioner - Occupational Therapist in Private Practice 9436533825 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians
Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

Practice addresses (Care Compare)

Festus, MO 63028
Phone (610) 925-1176

12399 Gravois Rd
Saint Louis, MO 63127-1736
Phone (337) 310-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002826MOMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Mar 21, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Aug 30, 2022 Accepting new patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Aug 30, 2022 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Mar 21, 2025 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Aug 30, 2022 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Aug 30, 2022 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 7

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1790971232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 NE 56TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192850",
            "telephone_number": "816-550-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 NE 56TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192850",
            "telephone_number": "816-550-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "EDWARD",
        "middle_name": "K",
        "credential": "B.S.O.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MO",
            "license": "002826",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "002826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.