Sandra Marie Bond

Individual provider Active NPI Recreation Therapist · Leavenworth, KS

NPI 1003825902 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003825902
Entity type
Individual (NPI type 1)
Primary specialty
Recreation Therapist 225800000X
Practice address
2712 Spring Garden St
Leavenworth, KS 66048-6710
Phone
(913) 758-0155
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X Yes

Addresses

Primary practice location

2712 Spring Garden St
Leavenworth, KS 66048-6710

Mailing address

2712 Spring Garden St
Leavenworth, KS 66048-6710
Phone (913) 758-0155

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003825902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 SPRING GARDEN ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660486710",
            "telephone_number": "913-758-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 SPRING GARDEN ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660486710",
            "telephone_number": "913-758-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

All providers in Leavenworth, KS · Recreation Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.