Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dwight Edward Conrad, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1154182392

Dwight Edward Conrad, COTA/L is an Occupational Therapy Assistant in Lees Summit, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

600 NW Pryor Rd
Lees Summit, MO 64081-1104
Phone: (816) 347-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2017025259 (MO)

Record details

NPI number1154182392
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJanuary 16, 2024
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

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