417 Pediatric Therapy
NPI 1366106601 · Occupational Therapist · Carl Junction, MO
417 Pediatric Therapy is a Occupational Therapist organization in Carl Junction, MO (NPI 1366106601).
Provider details
- NPI number
- 1366106601
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Shallenburger, Occupational Therapist(417) 438-2244
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-22
- Last updated
- 2021-10-22
- Certified
- 2021-10-22
Frequently asked questions
- What is 417 Pediatric Therapy's NPI number?
- 417 Pediatric Therapy's National Provider Identifier (NPI) is 1366106601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 417 Pediatric Therapy?
- 417 Pediatric Therapy is classified in the NPPES registry as Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is 417 Pediatric Therapy located?
- 417 Pediatric Therapy's practice location on file with NPPES is 420 Ruby Rd, Carl Junction, MO 64834-8449.
- What is 417 Pediatric Therapy's phone number?
- The practice phone number listed in the NPPES registry for 417 Pediatric Therapy is (417) 438-2244.
- Who is the authorized official for 417 Pediatric Therapy?
- The authorized official listed on 417 Pediatric Therapy's NPPES record is Lisa Shallenburger, Occupational Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 417 Pediatric Therapy's NPI active?
- Yes — 417 Pediatric Therapy's NPI (1366106601) is active in the NPPES registry as of the last update on 2021-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.