Individual provider Active NPI

Lauren Blakeborough

  • Occupational Therapist
  • Baldwin City, KS
National Provider Identifier
1801445937
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-03046 Issued in KS
Practice address
811 Grove St
Baldwin City, KS 66006-9204
Phone
(785) 594-2909
NPI assigned
Sep 11, 2019
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 17-03046 KS Primary

Addresses

Primary practice location

811 Grove St
Baldwin City, KS 66006-9204

Mailing address

314 S Cardinal Dr
Olathe, KS 66062-1849

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lauren@PKtherapyot.com Direct
Direct Messaging Address lauren@pktherapyot.com Direct

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
17-03046KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PK Therapy LLC Occupational Therapist PastSince Sep 15, 2019 Accepting new patients
Hand in Hand Comprehensive Therapy Specialists Inc Occupational Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauren@pktherapyot.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1801445937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S CARDINAL DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 GROVE ST",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660069204",
            "telephone_number": "785-594-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKEBOROUGH",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren@PKtherapyot.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "811 Grove St",
            "city": "Baldwin City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660069204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren@pktherapyot.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "811 Grove St",
            "city": "Baldwin City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660069204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baldwin City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.