INFANT TODDLER SERVICES OF JOHNSON COUNTY (NPI# 1124153424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124153424 |
| Entity Type | Organization |
| Organization Name | INFANT TODDLER SERVICES OF JOHNSON COUNTY |
| Practice Address |
6400 Glenwood St Suite 205 Overland Park KS 66202-4016 |
| Practice Telephone | 9134322900 |
| Practice Fax Number | 9134322901 |
| Mailing Telephone | 9134322900 |
| Mailing Fax Number | 9134322901 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY OWENS (DIRECTOR) |
| Authorized Official Telephone | 9134322900 |
| Authorized Official Credential | OTR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers | ||
| X | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS OF KANSAS CITY GROUP | 34084017 | 01 |
| Street Address |
6400 GLENWOOD ST SUITE 205 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66202-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455716 | Lina Jaramillo-cisneros | Physical Therapy Assistant | 6400 Glenwood St, Suite 111, Overland Park, KS 66202-4028 | 2017-02-02 |
| 1942662440 | Keegan Mccloud | Physical Therapy Assistant | 6400 Glenwood St, Suite 111, Overland Park, KS 66202-4028 | 2016-03-23 |
| 1851715353 | Arc Physical Therapy Plus Lp | Physical Therapist | 6400 Glenwood St, Suite 111, Overland Park, KS 66202-4028 | 2014-02-05 |
| 1811320104 | Elizabeth Brownlee Kennedy | Physical Therapist | 6400 Glenwood St, Building 4 Suite 111, Overland Park, KS 66202-4028 | 2013-08-09 |
| 1790036374 | Denise L Beckers | Physical Therapy Assistant | 6400 Glenwood St, Suite 111, Overland Park, KS 66202-4028 | 2012-09-24 |
| 1902151087 | Richard Charles Kidwell | Physical Therapist | 6400 Glenwood St, 111, Overland Park, KS 66202-4028 | 2012-07-16 |
| 1194092643 | Sharleen Kay Larue | Physical Therapist | 6400 Glenwood St, 111, Overland Park, KS 66202-4028 | 2011-11-29 |
| 1417233180 | Melissa Brandes | Physical Therapy Assistant | 6400 Glenwood St, Suite 111, Overland Park, KS 66202-4028 | 2011-10-26 |
| 1043592702 | David M Hagar | Physical Therapy Assistant | 6400 Glenwood St, Suite 111, Overland Park, KS 66202-4028 | 2011-09-19 |
| 1790072049 | Joel F English Jr. | Physical Therapy Assistant | 6400 Glenwood St, Suite 111, Overland Park, KS 66202-4028 | 2011-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863224 | Megan O'rear | Physical Therapist | 6907 Shawnee Mission Parkway, Ste. 207, Overland Park, KS 66202 | 2020-02-18 |
| 1114558194 | Erika Lynne Cool | Advanced Practice Midwife | 6131 Terrydale St., Merriam, KS 66202 | 2020-01-29 |
| 1215568464 | Andreas P Warren | Technician | 5100 Foxridge Dr. Apt 1524, Mission, KS 66202 | 2020-01-27 |
| 1831736099 | Lida Rose Keller | Registered Nurse | 6907 Shawnee Mission Parkway, Suite 207, Overland Park, KS 66202 | 2019-12-06 |
| 1215586235 | Stacy Grabowski | Physical Therapist | 6907 Shawnee Mission Pkwy, Ste. 207, Overland Park, KS 66202 | 2019-09-11 |
| 1932582566 | David Christian Murphy | Internal Medicine | 5030 Glenwood Dr., Mission, KS 66202 | 2015-07-01 |
| 1043609068 | Matthew M Christopher | Physical Therapy Assistant | 6616 Santa Fe Dr, Overland Park, KS 66202 | 2015-01-14 |
| 1710385786 | Tiffany Lorraine Eckland | Occupational Therapist | 8115 Shawnee Mission Parkway, Ste. #100, Merriam, KS 66202 | 2014-12-08 |
| 1720490261 | Antioch Dentistry Pa | Dentist | 5750 Antioch Road, Merriam, KS 66202 | 2014-06-02 |
| 1730529710 | Sierra Lynn Wright | Social Worker | 6000 Lamar Avenue, Suite 130, Mission, KS 66202 | 2013-07-05 |
| Find all providers in zip 66202 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619114303 | Michelle Summar | Dietitian, Registered | 5808 W. 110th St., Overland Park, KS 64211 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912223793 | Nicole L Knecht | Dietitian, Registered | 3901 Rainbow Blvd, Kansas City, KS 66103-2937 | 2010-04-19 |
| City | OVERLAND PARK |
| Zip Code | 66202 |
Please comment or provide details below to improve the information on INFANT TODDLER SERVICES OF JOHNSON COUNTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.