Active NPI
Ghanem A Aouad, OTR/L
- Occupational Therapist
- Andover, KS
National Provider Identifier
1457524266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-02415
- Practice address
- 621 W 21St St
Andover, KS 67002-8498 - Phone
- (316) 733-1340
- NPI assigned
- Apr 12, 2008
- Last updated
- Apr 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 17-02415 | KS | Primary |
Addresses
Primary practice location
621 W 21St St
Andover, KS 67002-8498
Mailing address
22700 W 45TH St N
Andale, KS 67001-9523
Phone (316) 796-1452
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-02415 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207958400000",
"number": "1457524266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22700 W 45TH ST N",
"city": "ANDALE",
"state": "KS",
"postal_code": "670019523",
"telephone_number": "316-796-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W 21ST ST",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670028498",
"telephone_number": "316-733-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AOUAD",
"first_name": "GHANEM",
"middle_name": "A",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-12",
"last_updated": "2008-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-02415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, KS
- Andover KS Opco LLC
- Andover Medical Investors, LLC (Life Care Center of Andover)
- Andover Senior Care, LLC (Victoria Falls)
- Andover Senior Care, LLC (Belvilla Assisted Living)
- Andover Usd 385
- Aquarius Home Health
- Kilee Mae Armstrong, MFT
- ASC at Fho
- B&B Associate Clinics, LLC
- Bailey Total Health, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.