Active NPI
Tammy Marie Trahern, COTA/L
- Occupational Therapy Assistant
- Lexington, MO
National Provider Identifier
1952923237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2012001560
- Practice address
- 536 S Business Highway 13
Lexington, MO 64067-1438 - Phone
- (660) 251-2101
- NPI assigned
- May 10, 2020
- Last updated
- May 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2012001560 | MO | Primary |
Addresses
Primary practice location
536 S Business Highway 13
Lexington, MO 64067-1438
Mailing address
500 W 33Rd St
Higginsville, MO 64037-1833
Phone (660) 909-6107
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Lexington | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2012001560 | MO | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations Therapy LLC | Current | Accepting new patients |
Locations
536 S Business Highway 13
Lexington, MO 64067
Phone (660) 251-2101
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Lexington, MO
- NPI 1699232165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589068800000",
"number": "1952923237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W 33RD ST",
"city": "HIGGINSVILLE",
"state": "MO",
"postal_code": "640371833",
"telephone_number": "660-909-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 S BUSINESS HIGHWAY 13",
"city": "LEXINGTON",
"state": "MO",
"postal_code": "640671438",
"telephone_number": "660-251-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAHERN",
"first_name": "TAMMY",
"middle_name": "MARIE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-10",
"last_updated": "2020-05-10",
"certification_date": "2020-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2012001560",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Lexington",
"affiliation": "N",
"endpointDescription": "therapy notes",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "536 S Business Highway 13",
"city": "Lexington",
"state": "MO",
"country_code": "US",
"postal_code": "640671438",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lexington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.