Individual provider Active NPI

Keri Mogenson, OT

  • Occupational Therapist
  • Leawood, KS
National Provider Identifier
1891013025
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
4400 W 115TH St
217
Leawood, KS 66211-2684
Phone
(913) 663-2912
NPI assigned
May 12, 2010
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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 NU Primary

Addresses

Primary practice location

4400 W 115TH St
217
Leawood, KS 66211-2684

Mailing address

8005 Audrain Dr
Saint Louis, MO 63121-4629
Phone (816) 799-1767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180810001860 KS Practitioner - Occupational Therapist in Private Practice 3678820768 Reassigns benefits to 4 organizations

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
Ellis Health Group LLCGroup PAC ID 4284022203, 16 clinicians
Rehab Advantage Solutions, PLLCGroup PAC ID 0749534865, 56 clinicians

Practice addresses (Care Compare)

10034 W 151St St
Overland Park, KS 66221-9326
Phone (816) 809-1085

13875 W 115TH Ter
TMC Therapy at Home KS
Olathe, KS 66062-7937
Phone (800) 381-0822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC CurrentSince Jun 10, 2021 Accepting new patients
Rehab Advantage Solutions, PLLC CurrentSince Sep 13, 2024 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Jul 24, 2018 Accepting new patients
Ellis Health Group LLC Occupational Therapist CurrentSince Sep 14, 2021 Accepting new patients

Locations

8477 S Suncoast Blvd
Homosassa, FL 34446
Phone (800) 381-0822

10034 W 151st St
Overland Park, KS 66221
Phone (816) 799-1767

2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

7730 Carondelet Ave
Ste 400
Saint Louis, MO 63105
Phone (314) 451-3942

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1891013025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 AUDRAIN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214629",
            "telephone_number": "816-799-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 115TH ST",
            "address_2": "217",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112684",
            "telephone_number": "913-663-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGENSON",
        "first_name": "KERI",
        "name_prefix": "Miss",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 18, 2015; 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.