Active NPI
Cassandra Ann Sutton, PTA
- Physical Therapy Assistant
- Wichita, KS
National Provider Identifier
1184968372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-02439
- Practice address
- 834 N Socora St
Ste 1
Wichita, KS 67212-3279 - Phone
- (316) 440-3731
- Fax
- (316) 440-3741
- NPI assigned
- Nov 12, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-02439 | KS | Primary |
Addresses
Primary practice location
834 N Socora St
Ste 1
Wichita, KS 67212-3279
Mailing address
200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013
Phone (316) 263-0002
Other names 1
- Cassandra Ward
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 |
|---|---|---|---|
| 14-02439 | KS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1184968372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE",
"address_2": "STE 1040",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023013",
"telephone_number": "316-263-0002",
"fax_number": "316-263-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 N SOCORA ST",
"address_2": "STE 1",
"city": "WICHITA",
"state": "KS",
"postal_code": "672123279",
"telephone_number": "316-440-3731",
"fax_number": "316-440-3741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "CASSANDRA",
"middle_name": "ANN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-12",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-02439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "WARD",
"credential": "PTA",
"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 Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.