Individual provider Active NPI

Rachel Jo Heidrick, OT

  • Occupational Therapist
  • Kansas City, MO
National Provider Identifier
1841526266
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-01075 Issued in KS
Practice address
851 NW 45TH St
Suite 304
Kansas City, MO 64116-4628
Phone
(816) 452-1633
Fax
(816) 452-1635
NPI assigned
Oct 19, 2009
Last updated
Oct 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-01075 KS Primary

Addresses

Primary practice location

851 NW 45TH St
Suite 304
Kansas City, MO 64116-4628

Mailing address

14432 W 139TH Ter
Olathe, KS 66062-8422
Phone (913) 449-7163

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

State licenses

LicenseStateTypeSpecialty
17-01075KSMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1841526266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14432 W 139TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660628422",
            "telephone_number": "913-449-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 NW 45TH ST",
            "address_2": "SUITE 304",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164628",
            "telephone_number": "816-452-1633",
            "fax_number": "816-452-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDRICK",
        "first_name": "RACHEL",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-01075",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 19, 2009; 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.