Individual provider Active NPI

Kelci Dampf, OTR

  • Pediatric Occupational Therapist
  • Leawood, KS
National Provider Identifier
1861949158
Registry record updated Sep 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
17-03204 Issued in KS
Practice address
3715 W 133Rd St
Leawood, KS 66209-3347
Phone
(913) 948-4223
NPI assigned
Sep 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 17-03204 KS Primary
Pediatric Occupational Therapist 225XP0200X 2016029243 MO

Addresses

Primary practice location

3715 W 133Rd St
Leawood, KS 66209-3347

Mailing address

5108 Baltimore Ave
Apt 3N
Kansas City, MO 64112-2662
Phone (573) 821-0082

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
17-03204KSMDPediatric Occupational Therapist
2016029243MOMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1861949158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 BALTIMORE AVE",
            "address_2": "APT 3N",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122662",
            "telephone_number": "573-821-0082"
        },
        {
            "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": "913-948-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMPF",
        "first_name": "KELCI",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-05",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KS",
            "license": "17-03204",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2016029243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.