Active NPI
Juanita Rebecca Vollnogel, COTA/L
- Gerontology Occupational Therapist
- Inman, KS
National Provider Identifier
1003226515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- T-03815
- Practice address
- 108 N Walnut St
Inman, KS 67546-8016 - Phone
- (620) 712-1041
- NPI assigned
- May 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | T-03815 | KS | Primary |
Addresses
Primary practice location
108 N Walnut St
Inman, KS 67546-8016
Mailing address
11111 E 4TH Ave
Hutchinson, KS 67501-8683
Phone (620) 669-3571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-03815 | KS | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1003226515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 E 4TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675018683",
"telephone_number": "620-669-3571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 N WALNUT ST",
"city": "INMAN",
"state": "KS",
"postal_code": "675468016",
"telephone_number": "620-712-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLLNOGEL",
"first_name": "JUANITA",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "KS",
"license": "T-03815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inman, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.