Organization Active NPI

Grace Rehabilitation of Overland Park, LLC

  • Physical Rehabilitation Occupational Therapist
  • Overland Park, KS
National Provider Identifier
1821355538
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Legal business name
GRACE REHABILITATION OF OVERLAND PARK, LLC
Practice address
8100 Marty Street
Suite 105
Overland Park, KS 66204-3737
Phone
(913) 851-7780
Fax
(913) 851-7785
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Margaret A. Boylan, OTR/L
Title
Owner
Phone
(913) 851-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X Primary

Addresses

Primary practice location

8100 Marty Street
Suite 105
Overland Park, KS 66204-3737

Mailing address

8100 Marty Street
Suite 105
Overland Park, KS 66204-3737
Phone (913) 851-7780

National Provider Directory

National Provider Directory

Locations

8100 Marty St
Ste 105
Overland Park, KS 66204
Phone (913) 547-5487

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1821355538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 MARTY STREET",
            "address_2": "SUITE 105",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043737",
            "telephone_number": "913-851-7780",
            "fax_number": "913-851-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 MARTY STREET",
            "address_2": "SUITE 105",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043737",
            "telephone_number": "913-851-7780",
            "fax_number": "913-851-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE REHABILITATION OF OVERLAND PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "BOYLAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-851-7780",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.