Individual provider Active NPI

Amy Ruth Fernandez-Paris, COTA

  • Occupational Therapy Assistant
  • Wichita, KS
National Provider Identifier
1295323129
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1800677 Issued in KS
Practice address
3700 E Lincoln St
Wichita, KS 67218-2099
Phone
(316) 686-7171
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapy Assistant 224ZE0001X 1800677 KS
Feeding, Eating & Swallowing Occupational Therapy Assistant 224ZF0002X 1800677 KS
Low Vision Occupational Therapy Assistant 224ZL0004X 1800677 KS
Driving and Community Mobility Occupational Therapy Assistant 224ZR0403X 1800677 KS
Occupational Therapy Assistant 224Z00000X 1800677 KS Primary

Addresses

Primary practice location

3700 E Lincoln St
Wichita, KS 67218-2099

Mailing address

PO Box 222
Cunningham, KS 67035-0222
Phone (316) 617-9495

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mount.st.mary@selectrehab.com Health Information Exchange (HIE)

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
1800677KSMDLow Vision Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1295323129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "CUNNINGHAM",
            "state": "KS",
            "postal_code": "670350222",
            "telephone_number": "316-617-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 E LINCOLN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182099",
            "telephone_number": "316-686-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-PARIS",
        "first_name": "AMY",
        "middle_name": "RUTH",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "KS",
            "license": "1800677",
            "primary": false
        },
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "KS",
            "license": "1800677",
            "primary": false
        },
        {
            "code": "224ZL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Low Vision",
            "state": "KS",
            "license": "1800677",
            "primary": false
        },
        {
            "code": "224ZR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": "KS",
            "license": "1800677",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "1800677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mount.st.mary@selectrehab.com",
            "affiliation": "N",
            "endpointDescription": "email and Point click care",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3700 E Lincoln St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672182099",
            "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 Jan 6, 2021; 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.