NATHAN RYAN RICHARDSON (NPI# 1972014066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972014066 |
| Entity Type | Individual |
| Full Name | NATHAN RYAN RICHARDSON |
| Practice Address |
3980 E Jackson Dr Independence MO 64057-2205 |
| Mailing Address |
508 17th Ave S Greenwood MO 64034-9701 |
| Practice Telephone | 8161951433 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2017022264 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NBCOT | 385891 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972927648 | Nathan Richardson | Registered Nurse | 70 Broadway St, Platteville, WI 53818-2821 | 2014-02-14 |
| 1033404397 | Nathan Richardson | Speech-Language Pathologist | 110 W University Dr, Mesa, AZ 85201-5818 | 2011-06-15 |
| 1790847978 | Nathan Davis Richardson | Orthopaedic Surgery | 3420 S Mercy Rd, Suite 200, Gilbert, AZ 85297-0419 | 2006-12-14 |
| Street Address |
3980 E JACKSON DR |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356656730 | Kimberlee Ann Sheahon | Physical Therapist | 3980 E Jackson Dr, Independence, MO 64057-2205 | 2010-08-10 |
| 1669861985 | Annie Jack | Speech-Language Pathologist | 3980 E Jackson Dr, Independence, MO 64057-2205 | 2015-01-12 |
| 1831509686 | Sena Marie Sumpter | Physical Therapy Assistant | 3980 E Jackson Dr, Independence, MO 64057-2205 | 2014-05-02 |
| 1043620909 | Emily Anna Craver | Speech-Language Pathologist | 3980 E Jackson Dr, Independence, MO 64057-2205 | 2014-04-30 |
| 1770993909 | Emily Ford | Occupational Therapist | 3980 E Jackson Dr, Independence, MO 64057-2205 | 2014-04-28 |
| 1093125114 | Catherine Johnston | Occupational Therapy Assistant | 3980 E Jackson Dr, Independence, MO 64057-2205 | 2014-04-28 |
| 1982026415 | Villages of Jackson Creek LLC | Skilled Nursing Facility | 3980 E Jackson Dr, Independence, MO 64057-2205 | 2014-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639531221 | Kristin Maynard | Occupational Therapy Assistant | 2410 Illinois Ave, Independence, IA 50644-9794 | 2016-03-23 |
| 1841698024 | Joshonna Price | Occupational Therapy Assistant | 810 E Walnut, Independence, MO 64050 | 2014-12-19 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| 1245675420 | Tara Michelle King | Occupational Therapy Assistant | 19213 E 5th Street Ct N, Independence, MO 64056-2211 | 2013-05-01 |
| 1417207275 | Lisa Gayle Schuler | Occupational Therapy Assistant | 824 N Penn Ave, Independence, KS 67301-2709 | 2012-09-19 |
| 1649556929 | Linda Diane Gunderman | Occupational Therapy Assistant | 127 Taylor Rd, Independence, KS 67301-1848 | 2011-10-31 |
| 1952518276 | Lisa M Warren | Occupational Therapy Assistant | 4511 Rockside Rd Ste 130, Independence, OH 44131-2199 | 2007-05-17 |
| 1699326355 | Layne Miller Koechner | Occupational Therapy Assistant | 14500 E 42nd St S Ste 220, Independence, MO 64055-4700 | 2019-09-24 |
| 1306373683 | Crystal Westphal | Occupational Therapy Assistant | 1610 3rd St Ne, Independence, IA 50644-2228 | 2017-05-17 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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| 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.