NPIMap

Organization Active NPI

Sprout Pediatric Occupational Therapy, LLC

  • Occupational Therapist
  • Wichita, KS
National Provider Identifier
1588098412
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1701783 Issued in KS
Legal business name
SPROUT PEDIATRIC OCCUPATIONAL THERAPY, LLC
Practice address
3500 N Rock Rd, BLDG 2200, Ste 101
Wichita, KS 67226-1341
Phone
(316) 440-3316
Fax
(888) 965-6885
NPI assigned
Aug 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Shawna Marie Wendt, OTR/L,BCPNPI 1982938403
Title
Owner
Phone
(316) 440-3316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 1701783 KS Primary

Addresses

Primary practice location

3500 N Rock Rd, BLDG 2200, Ste 101
Wichita, KS 67226-1341

Mailing address

PO Box 17053
Wichita, KS 67217-0053
Phone (316) 944-3940

National Provider Directory

National Provider Directory

Locations

3500 N Rock Rd
Bldg 2200
Wichita, KS 67226
Phone (316) 440-3316

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1588098412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17053",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672170053",
            "telephone_number": "316-944-3940",
            "fax_number": "316-946-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD, BLDG 2200, STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261341",
            "telephone_number": "316-440-3316",
            "fax_number": "888-965-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT PEDIATRIC OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "WENDT",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-440-3316",
        "authorized_official_credential": "OTR/L,BCP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1701783",
            "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 Apr 11, 2018; 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.