Individual provider Active NPI

Geri Lynn Wipfler, COTA/L

  • Occupational Therapy Assistant
  • Ste Genevieve, MO
National Provider Identifier
1902616436
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2016000684 Issued in MO
Practice address
10604 Bodine Rd
Ste Genevieve, MO 63670
Phone
(573) 883-6124
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2016000684 MO Primary

Addresses

Primary practice location

10604 Bodine Rd
Ste Genevieve, MO 63670

Mailing address

11298 Kimmel Lake Rd
Ste Genevieve, MO 63670-8625
Phone (573) 984-0104

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
2016000684MOMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CK Therapies, LLC CurrentSince Jan 12, 2025 Accepting new patients

Organizations & group practices 1

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": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1902616436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11298 KIMMEL LAKE RD",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708625",
            "telephone_number": "573-984-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 BODINE RD",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "63670",
            "telephone_number": "573-883-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIPFLER",
        "first_name": "GERI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2016000684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ste Genevieve, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.