Active NPI
Deual Joh Yochum I, OTR
- Occupational Therapist
- Junction City, KS
National Provider Identifier
1831692862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 926 W. 6TH Street
Junction City, KS 66441 - Phone
- (785) 256-9096
- NPI assigned
- Mar 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
926 W. 6TH Street
Junction City, KS 66441
Mailing address
601 Green Country Dr
Tahlequah, OK 74464-6002
Phone (918) 207-9093
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
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.
-
- Occupational Therapist
- Junction City, KS
- NPI 1821779174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1831692862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 GREEN COUNTRY DR",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744646002",
"telephone_number": "918-207-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 W. 6TH STREET",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "66441",
"telephone_number": "785-256-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOCHUM",
"first_name": "DEUAL",
"middle_name": "JOH",
"name_suffix": "I",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-15",
"last_updated": "2021-09-30",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.