Active NPI
Pamela Marie Distler, OTR
- Occupational Therapist
- Galena, KS
National Provider Identifier
1821205048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003838
- Practice address
- 444 Four States Dr
Ste 1
Galena, KS 66739-4325 - Phone
- (620) 783-4441
- Fax
- (620) 783-4090
- NPI assigned
- May 17, 2007
- Last updated
- Dec 29, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 003838 | MO | Primary |
Addresses
Primary practice location
444 Four States Dr
Ste 1
Galena, KS 66739-4325
Mailing address
PO Box 2546
Joplin, MO 64803-2546
Phone (620) 783-4441
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialists of the Four States LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Ortho4States DME
- Durable Medical Equipment & Medical Supplies
- Pittsburg, KS
- NPI 1467799106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1821205048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2546",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648032546",
"telephone_number": "620-783-4441",
"fax_number": "620-783-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 FOUR STATES DR",
"address_2": "STE 1",
"city": "GALENA",
"state": "KS",
"postal_code": "667394325",
"telephone_number": "620-783-4441",
"fax_number": "620-783-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISTLER",
"first_name": "PAMELA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "003838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galena, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.