Individual provider Active NPI

Denise Klobe

  • Occupational Therapy Assistant
  • Saint Peters, MO
National Provider Identifier
1972374254
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
004430 Issued in MO
Practice address
803 Amanda Dr
Saint Peters, MO 63376-5533
Phone
(636) 866-1341
Fax
(636) 206-2556
NPI assigned
Jan 15, 2024
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 004430 MO Primary

Addresses

Primary practice location

803 Amanda Dr
Saint Peters, MO 63376-5533

Mailing address

7055 Mexico Rd Unit 1601
Saint Peters, MO 63376-2344
Phone (636) 866-1341

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
004430MOMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy 4 Kids LLC PastSince Jan 21, 2024 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, 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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1972374254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 MEXICO RD UNIT 1601",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762344",
            "telephone_number": "636-866-1341",
            "fax_number": "636-206-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 AMANDA DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765533",
            "telephone_number": "636-866-1341",
            "fax_number": "636-206-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOBE",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "004430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.