Active NPI
Amy Ruth Fernandez-Paris, COTA
- Occupational Therapy Assistant
- Wichita, KS
National Provider Identifier
1295323129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1800677
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1800677 | KS | MD | Low 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.