Healthcare Provider Details

I. General information

NPI: 1598681777
Provider Name (Legal Business Name): ANNA GRACE KIRBY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10940 PARALLEL PKWY STE I
KANSAS CITY KS
66109-4515
US

IV. Provider business mailing address

PO BOX 650020
DALLAS TX
75265-0020
US

V. Phone/Fax

Practice location:
  • Phone: 913-378-0778
  • Fax: 913-378-0782
Mailing address:
  • Phone: 816-875-3884
  • Fax: 816-524-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2026029094
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number17-04686
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: