417 Pediatric Therapy
417 Pediatric Therapy is a healthcare organization registered as Occupational Therapist in Carl Junction, MO, holding Type 2 (organization) NPI 1366106601 since 2021. The authorized official on file is Lisa Shallenburger, Occupational Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366106601 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 417 Pediatric Therapy |
| Practice address | 420 RUBY RD, Carl Junction, MO, 64834 |
| Phone | 4174382244 |
| Enumeration date | 2021-10-22 |
| Last updated in NPPES | 2021-10-22 |
Authorized official
| Name | Lisa Shallenburger |
|---|---|
| Title | Occupational Therapist |
| Phone | 4174382244 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | Primary | — | — |
Copy-ready billing details
Provider: 417 Pediatric Therapy NPI: 1366106601 Taxonomy: 225X00000X (Occupational Therapist) Address: 420 RUBY RD, Carl Junction, MO, 64834
Verify this record
Cross-check NPI 1366106601 against the authoritative CMS record: view 417 Pediatric Therapy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is 417 Pediatric Therapy?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-10-22.