Individual provider Active NPI

Angela Gerstenkorn

  • Occupational Therapist
  • Wichita, KS
National Provider Identifier
1013391259
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3730 N Ridge Rd Ste 500
Wichita, KS 67205-1233
Phone
(316) 440-4901
Fax
(316) 440-4904
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

3730 N Ridge Rd Ste 500
Wichita, KS 67205-1233

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003

Other practice location 1

10000 West 75th Street Suite 250
Merriam, KS 66204
Phone (888) 913-1910

Other practice location 2

10000 West 75th Street Suite 250
Merriam, KS 66204
Phone (888) 913-1910

Other names 1

  • Angela Rausch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180228001355 KS Practitioner - Occupational Therapist in Private Practice 2264793694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Via Christi Rehabilitation Hospital IncGroup PAC ID 2062433956, 17 clinicians

Practice addresses (Care Compare)

1947 N Founders Cir
Via Christi Therapy Center
Wichita, KS 67206-3548
Phone (316) 613-5380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Rehabilitation Hospital, Inc. Occupational Therapist CurrentSince Aug 30, 2021 Accepting new patients
Ascension Via Christi Rehabilitation Hospital, Inc. CurrentSince Aug 30, 2021 Accepting new patients
Advanced PT, LLC PastSince Feb 19, 2018 Accepting new patients
Via Christi Rehabilitation Hospital, Inc Past Accepting new patients

Locations

1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640

6940 W Newell St
Wichita, KS 67212
Phone (316) 440-3731

1151 N Rock Rd
Wichita, KS 67206
Phone (316) 634-3400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013391259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051233",
            "telephone_number": "316-440-4901",
            "fax_number": "316-440-4904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 West 75th Street Suite 250",
            "address_purpose": "LOCATION",
            "city": "Merriam",
            "state": "KS",
            "postal_code": "66204",
            "country_code": "US",
            "telephone_number": "888-913-1910",
            "fax_number": "877-913-1174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 West 75th Street Suite 250",
            "address_purpose": "LOCATION",
            "city": "Merriam",
            "state": "KS",
            "postal_code": "66204",
            "country_code": "US",
            "telephone_number": "888-913-1910",
            "fax_number": "877-913-1174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSTENKORN",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "RAUSCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.