Active NPI
Summer McDonald, O.T.
- Occupational Therapist
- Wichita, KS
National Provider Identifier
1639505357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-02113
- Practice address
- 1603 N Chapel Hill St
Suite 400
Wichita, KS 67206-5506 - Phone
- (316) 440-6551
- NPI assigned
- Sep 26, 2013
- 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 | 17-02113 | KS | Primary |
Addresses
Primary practice location
1603 N Chapel Hill St
Suite 400
Wichita, KS 67206-5506
Mailing address
1340 Chaumont Cir
Andover, KS 67002-9096
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 |
|---|---|---|---|
| 17-02113 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1639505357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 CHAUMONT CIR",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670029096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 N CHAPEL HILL ST",
"address_2": "SUITE 400",
"city": "WICHITA",
"state": "KS",
"postal_code": "672065506",
"telephone_number": "316-440-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "SUMMER",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-02113",
"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 Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.