Samantha Graber

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

18-01212 Issued in KS

Practice address

3500 N Rock Rd BLDG 2200
Ste 101
Wichita, KS 67226-1341

Phone

(316) 440-3316

Fax

(888) 965-6885

NPI assigned

Feb 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sprout Pediatric Occupational Therapy, LLC

  • Occupational Therapist
  • Wichita, KS
  • NPI 1588098412
  NPD (past)

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486771200000",
    "number": "1124566047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD BLDG 2200",
            "address_2": "STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261341",
            "telephone_number": "316-440-3316",
            "fax_number": "888-965-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD BLDG 2200",
            "address_2": "STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261341",
            "telephone_number": "316-440-3316",
            "fax_number": "888-965-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "18-01212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF HEALING ARTS",
            "identifier": "18-01212",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goza Chiropractic LLC
• Jason Arnold Goza, DC
• Tyler Patrick Goza, DC
• Ashley Rene Graber, N.P.
• Debra T Graber, LMFT
• Brittany Grabill, CRNA
• Grace and Hope Recovery Inc
• Grace Castaneda, Lscsw, LLC
• Grace Chiropractic Center PLLC (Wichita Chiropractic)
• Grace Cottage LLC

• Occupational Therapy Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Occupational Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.