Healthcare Provider Details

I. General information

NPI: 1760237143
Provider Name (Legal Business Name): PEDIATRIC CONNECTIONS OCCUPATIONAL THERAPY SERVICES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 04/19/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 SW GOLF PARK BVD
TOPEKA KS
66605
US

IV. Provider business mailing address

7235 W 162ND TER
OVERLAND PARK KS
66085-8238
US

V. Phone/Fax

Practice location:
  • Phone: 913-257-5808
  • Fax: 844-270-5777
Mailing address:
  • Phone: 913-257-5808
  • Fax: 844-270-5777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEANA LYNN LESHER
Title or Position: OWNER
Credential:
Phone: 913-257-5808