MR. BRIAN WAUTERS (OTR) – Occupational Therapist, NPI 1093238925

MR. BRIAN WAUTERS (OTR) is a healthcare provider. based in Kansas city, Missouri. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. The NPI Number for MR. BRIAN WAUTERS (OTR) is 1093238925

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRIAN WAUTERS (OTR)
NPI
1093238925
Phone
Not provided
Address
1218 NW VIVION RD
Enumeration Date
23 July 2017
Last Update Date
23 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7853672353
Graduation Year
2015 (11 years ago)
PAC ID
5395011985
Group Practice PAC ID
2264763598
Professional Enrollment ID
I20171026001266
Address ID
CO80831XXXXFAXXXXXXXXXX00
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

426 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for MR. BRIAN WAUTERS (OTR)

  • 1218, Northwest Vivion Road, Briarcliff West, Kansas City, Clay County, Missouri, 64118, United States

    KANSAS CITY, MO 641184551

    Phone:

    Type: Mailing

  • 1225 W PROSPECT RD APT C103

    FORT COLLINS, CO 805263053

    Phone: (515) 509-3636

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171026001266IOccupational Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97542Evaluation for wheelchair, each 15 minutes10377$0
97165Evaluation for occupational therapy, typically 30 minutes5755$0
97535Training for self-care or home management, each 15 minutes2318$0
97166Evaluation for occupational therapy, typically 45 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 64118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264763598View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeKS
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeKS
Occupational Therapist In Private PracticeSD
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

What unique ID ties claims to MR. BRIAN WAUTERS (OTR)?
NPI 1093238925 is assigned to MR. BRIAN WAUTERS (OTR) under the national enumeration system.
Is MR. BRIAN WAUTERS (OTR)'s NPI currently valid?
The extract we use shows MR. BRIAN WAUTERS (OTR) as active.
What does MR. BRIAN WAUTERS (OTR) treat or focus on?
Patients typically see MR. BRIAN WAUTERS (OTR) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. BRIAN WAUTERS (OTR)?
The page summarizes Kansas City, Missouri for MR. BRIAN WAUTERS (OTR); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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