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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Robert Galen Blanke
- Brenda Christensen Boeke
- Bonnie Jo Bohn
- Melanie Bolinger
- Nicole Bond
- Ronald R Booth
- Jana Borgmeyer
- Allysa Nicole Boswell
- Mitchell William Bowen
- Samantha Bowsher
All providers in Leavenworth, KS · Recreation Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.