Individual provider Active NPI

Sarah Elizabeth Walldroff, OTR/L

  • Occupational Therapist
  • Overland Park, KS
National Provider Identifier
1154034528
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-04111 Issued in KS
Practice address
6901 Shawnee Mission Pkwy Ste 207
Overland Park, KS 66202-4082
Phone
(888) 913-1910
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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 17-04111 KS Primary

Addresses

Primary practice location

6901 Shawnee Mission Pkwy Ste 207
Overland Park, KS 66202-4082

Mailing address

19403 Ny State Route 177
Adams Center, NY 13606-2209
Phone (315) 408-7962

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

LicenseStateTypeSpecialty
17-04111KSMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1154034528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19403 NY STATE ROUTE 177",
            "city": "ADAMS CENTER",
            "state": "NY",
            "postal_code": "136062209",
            "telephone_number": "315-408-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SHAWNEE MISSION PKWY STE 207",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024082",
            "telephone_number": "888-913-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLDROFF",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-04111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.