Active NPI
Sara Lynn Mathis, OTR
- Occupational Therapist
- Wichita, KS
National Provider Identifier
1467649822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-00727
- Practice address
- 929 N St Francis
Wichita, KS 67214 - Phone
- (316) 268-8200
- NPI assigned
- Oct 1, 2007
- Last updated
- Oct 1, 2007
- Sex
- Female
- 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 | 17-00727 | KS | Primary |
Addresses
Primary practice location
929 N St Francis
Wichita, KS 67214
Mailing address
3302 Pepper Ridge
Wichita, KS 67205
Phone (316) 729-0306
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 |
|---|---|---|---|
| 17-00727 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1467649822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 PEPPER RIDGE",
"city": "WICHITA",
"state": "KS",
"postal_code": "67205",
"telephone_number": "316-729-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N ST FRANCIS",
"city": "WICHITA",
"state": "KS",
"postal_code": "67214",
"telephone_number": "316-268-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "SARA",
"middle_name": "LYNN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-00727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.