Active NPI
Kitchel A. Scheufler
- Pediatric Occupational Therapist
- Wichita, KS
National Provider Identifier
1174156269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 17-01474
- Practice address
- 3500 N Rock Rd, Building 2200, Suite 101
Wichita, KS 67226-1341 - Phone
- (316) 440-3316
- Fax
- (888) 965-6885
- NPI assigned
- Feb 17, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 17-01474 | KS | Primary |
Addresses
Primary practice location
3500 N Rock Rd, Building 2200, Suite 101
Wichita, KS 67226-1341
Mailing address
3500 N Rock Rd, Building 2200, Suite 101
Wichita, KS 67226-1341
Phone (316) 440-3316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17-01474 | Medicaid | KS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.sprouttherapy.com | Sprout Pediatric Occupational Therapy, LLC |
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 |
|---|---|---|---|
| 17-01474 | KS | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprout Pediatric Occupational Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Wichita, KS
- NPI 1588098412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1174156269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N ROCK RD, BUILDING 2200, SUITE 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, BUILDING 2200, SUITE 101",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261341",
"telephone_number": "316-440-3316",
"fax_number": "888-965-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEUFLER",
"first_name": "KITCHEL",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2023-11-27",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "KS",
"license": "17-01474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17-01474",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.sprouttherapy.com",
"affiliation": "Y",
"affiliationName": "Sprout Pediatric Occupational Therapy, LLC",
"address_1": "3500 N ROCK RD, BUILDING 2200, SUITE 101",
"city": "WICHITA",
"state": "KS",
"country_code": "US",
"postal_code": "672261341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Nov 27, 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.