Kelly Ann Reardon, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-02875 Issued in KS

Practice address

3715 W 133Rd St
Leawood, KS 66209-3347

Phone

(913) 515-3531

Fax

(816) 222-0679

NPI assigned

Jun 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Ann Watkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Playabilities

  • Pediatric Physical Therapist
  • Leawood, KS
  • NPI 1043607674
  NPD (past) Authorized official
• Playabilities for Sensational Kids, LLC

  • Pediatric Occupational Therapist
  • Leawood, KS
  • NPI 1861815532
  NPD (past) Authorized official

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1821438516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 W 69TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132055",
            "telephone_number": "913-515-3531",
            "fax_number": "816-222-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 W 133RD ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093347",
            "telephone_number": "913-515-3531",
            "fax_number": "816-222-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02875",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2011024109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WATKINS",
            "middle_name": "ANN",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas J Rasmussen, MD
• Jon Rast, M.D.
• Sarah A Rastogi, M.D.
• Yasaman Ravandoust, DDS MS
• Hannah Rawson, PT, DPT
• Trevor Reaser
• Keslie Redel, LCPC
• William Martin Reed, M.D.
• Regenerative Treatment Centers
• Rehab Consultants, PA

• Occupational Therapist in Leawood, KS
• Providers in Leawood, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.