MRS. GWENDOLYN R PEARL (NPI# 1578892766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578892766 |
| Entity Type | Individual |
| Full Name | MRS. GWENDOLYN R PEARL |
| Credential | OTR |
| Practice Address |
3310 N 110th St Kansas City KS 66109-3463 |
| Practice Telephone | 9137215335 |
| Mailing Telephone | 9137215335 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251E1200X |
Physical Therapist Specialization: Ergonomics |
2009035057 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XG0600X |
Occupational Therapist Specialization: Gerontology |
2009035057 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
20090305057 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XE0001X |
Occupational Therapist Specialization: Environmental Modification |
2009035057 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3310 N 110TH ST |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66109-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796688 | Lance Miller | Pharmacist | 10510 Parallel, Kansas City, KS 66109 | 2015-12-09 |
| 1386016293 | Tara Newton | Community Health Worker | 2821 N 91 St, Kansas City, KS 66109 | 2015-10-30 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1033559570 | Legends Dental Group, P.a. | Dentist | 10818 Parallel Parkway, Kansas City, KS 66109 | 2013-06-28 |
| 1215277694 | Kristin Kathleen Porter | Dietitian, Registered | 10124 Hutton Road, Kansas City, KS 66109 | 2013-02-22 |
| 1932459229 | Sams West, Inc | Technician/Technologist | 10510 Parrallel Pkwy, Kansas City, KS 66109 | 2012-09-13 |
| 1356642276 | Anjali Doshi | Dentist | 10818 Parallel Pkwy, Kansas City, KS 66109 | 2010-11-09 |
| 1841411675 | Wendy Ann Brakhage | Chiropractor | 2300 Hutton Road, Suite 101, Kansas City, KS 66109 | 2007-05-01 |
| 1205953742 | Lisa R Gonzales | Dentist | 10203 Leavenworth Road, Kansas City, KS 66109 | 2007-03-22 |
| 1497898290 | Shannon R Margherio | Physical Therapist | 1801 N 98th Street, Kansas City, KS 66109 | 2007-02-14 |
| Find all providers in zip 66109 | ||||
| Taxonomy Code | 2251E1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Ergonomics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295764074 | Kamela Kay Henault | Physical Therapist | 3740 Se Howard Dr, Topeka, KS 66605-1934 | 2006-07-02 |
| 1245725316 | Ashley Moeder | Physical Therapist | 1210 N Washington St, Plainville, KS 67663-1632 | 2018-06-29 |
| City | KANSAS CITY |
| Zip Code | 66109 |
Please comment or provide details below to improve the information on MRS. GWENDOLYN R PEARL.
| 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.