Individual provider Active NPI

Sandra R Wuller, P.T.

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1548414691
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-01384 Issued in KS
Practice address
9100 W 131St Ter
Overland Park, KS 66213-3096
Phone
(913) 707-8362
NPI assigned
Nov 14, 2008
Last updated
Oct 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R0984 MO
Physical Therapist 225100000X 11-01384 KS Primary

Addresses

Primary practice location

9100 W 131St Ter
Overland Park, KS 66213-3096

Mailing address

9100 W 131St Ter
Overland Park, KS 66213-3096
Phone (913) 707-8362

Other names 1

  • Sandra R Schrick Former name

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

LicenseStateTypeSpecialty
R0984MOMDPhysical Medicine & Rehabilitation Physician
11-01384KSMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1548414691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 W 131ST TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662133096",
            "telephone_number": "913-707-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W 131ST TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662133096",
            "telephone_number": "913-707-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULLER",
        "first_name": "SANDRA",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "R0984",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-01384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SCHRICK",
            "middle_name": "R",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.