Active NPI
Trey Keith Shandy
- Occupational Therapist
- Topeka, KS
National Provider Identifier
1164200515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-02700
- Practice address
- 1205 SW 29TH St
Topeka, KS 66611-1203 - Phone
- (785) 274-3337
- NPI assigned
- Sep 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-02700 | KS | Primary |
Addresses
Primary practice location
1205 SW 29TH St
Topeka, KS 66611-1203
Mailing address
1001 SW 29TH St
Topeka, KS 66611-3202
Phone (785) 274-3337
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17-02700 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1164200515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SW 29TH ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666113202",
"telephone_number": "785-274-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 SW 29TH ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666111203",
"telephone_number": "785-274-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANDY",
"first_name": "TREY",
"middle_name": "KEITH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-02700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.