Lora Beth O'Byrne, O.T
Individual provider Active NPI Hand Occupational Therapist · Overland Park, KS
NPI 1891864534 · NPPES record last updated Jan 11, 2022
Key facts
- NPI
- 1891864534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hand Occupational Therapist 225XH1200X
- License
- 17-01842 (KS)
- Practice address
- 15917 Antioch Rd
Overland Park, KS 66223-2924 - Phone
- (913) 239-9539
- Fax
- (913) 239-9893
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121126000254 | MO | Practitioner - Occupational Therapist in Private Practice | 4688825672 | Reassigns benefits to 1 organization |
| I20240209000596 | KS | Practitioner - Occupational Therapist in Private Practice | 4688825672 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-01842 | KS | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings, Inc. | Current |
Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current |
Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current |
Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Occupational Therapist | Past |
Accepting new patients |
Locations
100 E Kansas St
Ste C
Lansing, KS 66043
Phone (913) 758-0283
5922 Barkley St
Mission, KS 66202
Phone (913) 229-9440
15917 Antioch Rd
Overland Park, KS 66223
Phone (913) 239-9536
11330 W 135th St
Overland Park, KS 66221
Phone (913) 239-9539
200 N Keene St
Columbia, MO 65201
Phone (573) 874-0001
200 NE 54th St
Ste 101
Kansas City, MO 64118
Phone (816) 455-0301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 17-01842 | KS | Yes |
Addresses
Primary practice location
15917 Antioch Rd
Overland Park, KS 66223-2924
Mailing address
15917 Antioch Rd
Overland Park, KS 66223-2924
Phone (913) 239-9539
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17-01842 | Other | KS | OT LICENSE |
| 1999141041 | Other | MO | LICENSE# |
Other names
- Lora Beth Shipman
Other providers in Overland Park, KS
- O.H. Gerry Optical Company
- Cyndie O'Bleness
- Ashley O'Brien
- Rebecca V. O'Brien
- James Joseph O'Bryan
- Cristy Dawn O'Connell
- David M. O'Connell
- Mary E O'Connell
- Alexander O'Connor
- Brennan O'Connor
All providers in Overland Park, KS · Hand Occupational Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.