Provider Demographics
NPI:1073570867
Name:LEMONS, JANELLE LEIGH (OT/ CHT)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:LEIGH
Last Name:LEMONS
Suffix:
Gender:F
Credentials:OT/ CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 OLATHE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8505
Mailing Address - Country:US
Mailing Address - Phone:913-588-3128
Mailing Address - Fax:913-588-2277
Practice Address - Street 1:2000 OLATHE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-9302
Practice Address - Country:US
Practice Address - Phone:913-588-3128
Practice Address - Fax:913-588-2277
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS96110000402251H1200X
MO2005021445225X00000X
KS1700646225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
P77D517AMedicare ID - Type Unspecified