KATHLEEN TISDALE OTR/L
NPI 1902294135
Occupational Therapist in Independence, MO
About Kathleen Tisdale Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN TISDALE OTR/L (NPI 1902294135) is an individual occupational therapist in Independence, Missouri, licensed in Missouri (2013023645) and active in the NPI registry since December 2014.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Tisdale Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Tisdale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Independence, MO 64057
- Reassigned Medicare billing, Missouri enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDEPENDENCE, MO 64050
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Tisdale's NPI number?
The NPI number for Kathleen Tisdale is 1902294135. It was assigned to this individual provider in the NPPES registry on December 22, 2014.
Where is Kathleen Tisdale located?
Kathleen Tisdale practices at 810 E Walnut St, Independence, MO 64050. The listed phone number is (816) 461-9600.
What is Kathleen Tisdale's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kathleen Tisdale enrolled in Medicare?
Yes. Kathleen Tisdale is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Tisdale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Tisdale reassigns Medicare benefits to Healthpro Heritage Rehab & Fitness, LLC (Independence, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Tisdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Tisdale was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.