Active NPI
Kendle R Laycock, COTA
- Occupational Therapy Assistant
- Pleasant Hill, MO
National Provider Identifier
1982141297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2016032147
- Practice address
- 25911 E 219TH St
Pleasant Hill, MO 64080-8100 - Phone
- (816) 769-3920
- NPI assigned
- Jan 24, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2016032147 | MO | Primary |
| Occupational Therapy Assistant | 224Z00000X | 18-01373 | KS |
Addresses
Primary practice location
25911 E 219TH St
Pleasant Hill, MO 64080-8100
Mailing address
25911 E 219TH St
Pleasant Hill, MO 64080-8100
Phone (816) 769-3920
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 |
|---|---|---|---|
| 18-01373 | KS | MD | Occupational Therapy Assistant |
| 2016032147 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1982141297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25911 E 219TH ST",
"city": "PLEASANT HILL",
"state": "MO",
"postal_code": "640808100",
"telephone_number": "816-769-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25911 E 219TH ST",
"city": "PLEASANT HILL",
"state": "MO",
"postal_code": "640808100",
"telephone_number": "816-769-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYCOCK",
"first_name": "KENDLE",
"middle_name": "R",
"name_prefix": "Miss",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2016032147",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "18-01373",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.