417 Pediatric Therapy
NPI 1366106601ActiveOrganization· Occupational Therapist· Carl Junction, MO
Occupational Therapist in Carl Junction, Missouri, registered in NPPES in October 2021. The authorized official on file is Lisa Ellen Shallenburger, OTR/L, Occupational Therapist.
Overview
| NPI | 1366106601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 22, 2021 |
| Last updated in NPPES | Oct 22, 2021 |
| Certified by provider | Oct 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Occupational Therapist providers in Carl Junction
- 1558686121