MEDICARE: MRS. JAQUELINE KOKE THOMAS MOT, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	003592	MO
2	225X00000X	Occupational Therapist	003592	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154395515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAQUELINE KOKE THOMAS MOT, OTR/L

Provider Business Mailing Address
First Line	:	7803 NE 72ND TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64158-1268
Country	:	US
Telephone Number	:	816-415-9399
Fax Number	:

Provider Business Practice Location Address
First Line	:	7803 NE 72ND TER
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64158-1268
Country	:	US
Telephone Number	:	816-756-0780
Fax Number	:	816-756-1677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	08/21/2009

Similar Medicare Providers

1770539108 — ISD RENAL INC
Practice Location Address:

4601 MADISON AVE
KANSAS CITY, MO
64112-1268

Practice Phone: 816-764-9633
Practice Fax: 816-375-6351

1912918806 — AMY L PAULSON OT, CHT
Practice Location Address:

8002 N OAK TRFY , STE 112
KANSAS CITY, MO
64118-1268

Practice Phone: 816-572-3994
Practice Fax:

1134356637 — BLAKE OVERLY DC
Practice Location Address:

8002 N OAK TRFY , SUITE 112
KANSAS CITY, MO
64118-1268

Practice Phone: 816-569-5079
Practice Fax: 816-569-5298

1871865550 — NORTHLAND SPINE AND REHABILITATION, LLC
Practice Location Address:

8002 N OAK TRFY , SUITE 112
KANSAS CITY, MO
64118-1268

Practice Phone: 816-569-5079
Practice Fax: 816-569-5298

1346616232 — MIDWEST HAND THERAPY LLC
Practice Location Address:

8002 N OAK TRFY , SUITE 112
KANSAS CITY, MO
64118-1268

Practice Phone: 816-572-3994
Practice Fax: 816-569-5298

1700886025 — MICHAEL MCMILLAN ATC
Practice Location Address:

1268 E 32ND ST
SILVER CITY, NM
88061-7229

Practice Phone: 575-534-1919
Practice Fax: 575-534-0135

Directions to “ MRS. JAQUELINE KOKE THOMAS MOT, OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.