Cora Petz
Individual provider Active NPI Occupational Therapist · Cheney, KS
NPI 1487822151 · NPPES record last updated Feb 15, 2008
Key facts
- NPI
- 1487822151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 17-01638 (KS)
- Practice address
- 420 E Teal LN
Cheney, KS 67025-9192 - Phone
- (316) 542-9973
- NPI assigned
- Feb 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-01638 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Rehabilitation, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-01638 | KS | Yes |
Addresses
Primary practice location
420 E Teal LN
Cheney, KS 67025-9192
Mailing address
420 E Teal LN
Cheney, KS 67025-9192
Other providers in Cheney, KS
- Kimberly Kay Keller
- Kingman Drug Inc
- Kara Linn Ostgren
- Susan Diane Ott Heasley
- Amy Sue Panek
- John M Roberts
- Seth Sanders
- Special Care Services, Inc.
- Stephanie a. Rosenhagen, Arnp, LLC
- Lendon K Troiani
All providers in Cheney, KS · Occupational Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.