Active NPI
Jodi Nicole Wood, COTA/L
- Occupational Therapy Assistant
- Kearney, MO
National Provider Identifier
1861940488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2016018295
- Practice address
- 200 Meadowbrook Dr
Kearney, MO 64060-8553 - Phone
- (816) 744-8116
- NPI assigned
- Sep 12, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2016018295 | MO | Primary |
| Occupational Therapy Assistant | 224Z00000X | 18-01344 | KS |
Addresses
Primary practice location
200 Meadowbrook Dr
Kearney, MO 64060-8553
Mailing address
10215 N Lawn Ave
Kansas City, MO 64156-3005
Phone (816) 377-3211
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18-01344 | KS | MD | Occupational Therapy Assistant |
| 2016018295 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1861940488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 N LAWN AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641563005",
"telephone_number": "816-377-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEADOWBROOK DR",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640608553",
"telephone_number": "816-744-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JODI",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2016018295",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "18-01344",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.