Individual provider Active NPI

Kathleen A Atchison, OTR/L, CHT

  • Hand Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1811946015
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
2005013023 Issued in MO
Practice address
3355 Main St
Kansas City, MO 64111-1904
Phone
(816) 399-4640
Fax
(816) 399-0801
NPI assigned
May 8, 2006
Last updated
Jan 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 2005013023 MO Primary
Hand Occupational Therapist 225XH1200X 17-02441 KS

Addresses

Primary practice location

3355 Main St
Kansas City, MO 64111-1904

Mailing address

17134 Bel Ray PL
Belton, MO 64012-5331
Phone (816) 226-4011

Other identifiers 3

IdentifierTypeStateIssuer
KA2868005OtherKSMEDICARE PTAN
35671062OtherBCBS KC
MA4370058OtherMOMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050802000757 MO Practitioner - Occupational Therapist in Private Practice 1951375997 Reassigns benefits to 1 organization
I20071119000603 KS Practitioner - Occupational Therapist in Private Practice 1951375997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serc Rebabilitation Partners, LLCGroup PAC ID 9830344563, 212 clinicians

Practice addresses (Care Compare)

13035 Kansas Ave
Serc Bonner Springs
Bonner Springs, KS 66012-9206
Phone (913) 721-6362

13847 W 63Rd St
2 Serc Shawnee
Shawnee, KS 66216-3800
Phone (913) 962-7774

7932 N Oak Trfy
212 Serc Metro North
Kansas City, MO 64118-1424
Phone (816) 420-8251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-02441KSMDHand Occupational Therapist
2005013023MOMDHand Occupational Therapist
1109NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rehabilitation Partners, LLC CurrentSince Dec 3, 2012 Accepting new patients
Serc Rebabilitation Partners, LLC CurrentSince Dec 3, 2012 Accepting new patients
Serc Rehabilitation Partners, LLC Hand CurrentSince Jan 23, 2013 Accepting new patients
Spine and Extremity Rehabilitation Center of Raytown Inc Past Accepting new patients
Serc Hand of Cass County LLC Hand Past Accepting new patients
Spine & Extremity Rehabilitation Center of Kansas City North Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

13035 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 721-6362

7211 W 110th St
Overland Park, KS 66210
Phone (913) 451-7372

17134 Bel Ray Pl
Belton, MO 64012
Phone (816) 226-4011

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

815 Westchester Ave
Harrisonville, MO 64701
Phone (816) 331-9111

3355 Main St
Kansas City, MO 64111
Phone (816) 399-0806

7932 N Oak Trfy
Ste 212
Kansas City, MO 64118
Phone (816) 420-0286

101 W 92 Hwy
Ste H
Kearney, MO 64060
Phone (816) 903-0775

1512 NE 96th St
Ste A
Liberty, MO 64068
Phone (816) 407-7200

10801 E State Route 350
Ste B
Raytown, MO 64138
Phone (816) 737-5500

220 NW Platte Valley Dr
Riverside, MO 64150
Phone (816) 505-3422

Organizations & group practices 6

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1811946015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17134 BEL RAY PL",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125331",
            "telephone_number": "816-226-4011",
            "fax_number": "816-524-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111904",
            "telephone_number": "816-399-4640",
            "fax_number": "816-399-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHISON",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "2005013023",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "KS",
            "license": "17-02441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA2868005",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "35671062",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA4370058",
            "state": "MO"
        }
    ],
    "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 Jan 20, 2014; 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.