CHASE MODER (NPI# 1174974158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174974158 |
| Entity Type | Individual |
| Full Name | CHASE MODER |
| Credential | OTR/L |
| Practice Address |
3980 South Jackson Dr Independence MO 64057 |
| Mailing Address |
3980 South Jackson Drive Independence MO 64057 |
| Practice Telephone | 8167951433 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2016016879 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3980 SOUTH JACKSON DR |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1205246006 | Jason Russell | Physical Therapist | 3980 South Jackson Dr, Independence, MO 64057 | 2014-05-01 |
| 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 | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476959 | Diane Meyer | Occupational Therapist | 230 Swan Lake Blvd, Suite 103, Independence, IA 50644 | 2020-01-10 |
| 1871072462 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 2100 S Swope Dr, Independence, MO 64057-2808 | 2018-08-14 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1912370859 | Melanie Albina Dzek | Occupational Therapist | 6660 Oakwood Dr, Independence, OH 44131-4604 | 2015-10-31 |
| 1760868137 | Linda Baznik | Occupational Therapist | 8354 Dalebrook Rd, Independence, OH 44131-6616 | 2015-08-07 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1770826471 | Serc Rehabilitation Partners LLC | Occupational Therapist | 19310 E 50th Ter S Ste A, Independence, MO 64055-5564 | 2013-04-01 |
| 1255632303 | Rhonda Catherine Mattson | Occupational Therapist | 14500 E 42nd St S Ste 220, Independence, MO 64055 | 2010-11-05 |
| 1932419819 | Danielle Bielata Powrie | Occupational Therapist | 938 Ally Way, Independence, KY 41051-6504 | 2010-10-13 |
| 1508193871 | Elizabeth Ra Fertig | Occupational Therapist | 7150 Corvallis Rd, Independence, OR 97351-9788 | 2009-11-06 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
Please comment or provide details below to improve the information on CHASE MODER.
| 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.