Provider Demographics
NPI:1710586474
Name:ABILITIES FIRST, INC
Entity Type:Organization
Organization Name:ABILITIES FIRST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC OT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DUSTY
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:816-752-2300
Mailing Address - Street 1:1218 KINGSLAND CIR
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-7202
Mailing Address - Country:US
Mailing Address - Phone:816-752-2300
Mailing Address - Fax:
Practice Address - Street 1:1908 PLUMBERS WAY
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-7456
Practice Address - Country:US
Practice Address - Phone:816-752-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851867956OtherSPEECH THERAPY
MO1245322270Medicaid