Pamela Rae Backes, MOT OTR/L
Individual provider Active NPI Occupational Therapist · Shawnee, KS
NPI 1992054027 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1992054027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 17-01205 (KS)
- Practice address
- 4409 Aminda St
Shawnee, KS 66226-2455 - Phone
- (913) 441-0284
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-01205 | KS | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-01205 | KS | Yes |
Addresses
Primary practice location
4409 Aminda St
Shawnee, KS 66226-2455
Mailing address
4409 Aminda St
Shawnee, KS 66226-2455
Phone (913) 441-0284
Other providers in Shawnee, KS
- Autism Services of Kansas, LLC
- Denise Marie Ayers
- Bailey Babbitt
- Jennifer M Babitzke
- Back in Motion Chiropractic, LLC
- Jessica Baeuchle
- Paula Kay Bailey
- Christy Bain
- Dakota Bain
- Himal B Bajracharya
All providers in Shawnee, KS · 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 Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.