Individual provider Active NPI

Kyri Vanvoorst, MOT, OTR/L

  • Occupational Therapist
  • Surprise, AZ
National Provider Identifier
1881973410
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4833 Issued in AZ
Practice address
14775 W Yorkshire Dr
Surprise, AZ 85374-7224
Phone
(623) 377-9698
NPI assigned
Aug 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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 4833 AZ Primary

Addresses

Primary practice location

14775 W Yorkshire Dr
Surprise, AZ 85374-7224

Mailing address

28425 N Black Canyon Hwy
#3081
Phoenix, AZ 85085-7601
Phone (712) 540-8633

Other names 1

  • Kyri Lancaster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191008002259 AZ Practitioner - Occupational Therapist in Private Practice 9436480373 Reassigns benefits to 1 organization
I20260611000991 NE Practitioner - Occupational Therapist in Private Practice 9436480373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Rehabilitation IncGroup PAC ID 9638086432, 59 clinicians

Practice addresses (Care Compare)

801 N Adams St
Papillion, NE 68046-4310
Phone (888) 362-8704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Manual Physical Therapy PLLC CurrentSince Aug 10, 2019 Accepting new patients
Panorama Medicine PLLC PastSince Aug 14, 2024 Accepting new patients

Locations

1380 S Castle Dome Ave
Ste 104
Yuma, AZ 85365
Phone (928) 259-7758

2660 E 24th St
Yuma, AZ 85365
Phone (928) 239-2419

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1313193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1881973410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28425 N BLACK CANYON HWY",
            "address_2": "#3081",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857601",
            "telephone_number": "712-540-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14775 W YORKSHIRE DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747224",
            "telephone_number": "623-377-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVOORST",
        "first_name": "KYRI",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-13",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "4833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYRI",
            "last_name": "LANCASTER",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.